| Psychology Associates Of Madison, Llp | |
|
2010 Eastwood Dr Ste 202 Madison WI 53704-5387 | |
| (608) 255-9119 | |
| (888) 251-2784 |
| Full Name | Psychology Associates Of Madison, Llp |
|---|---|
| Speciality | Counselor |
| Location | 2010 Eastwood Dr Ste 202, Madison, Wisconsin |
| Authorized Official Name and Position | Susan Hofer (OWNER/LPC) |
| Authorized Official Contact | 6082559119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychology Associates Of Madison, Llp 2010 Eastwood Dr Ste 202 Madison WI 53704-5387 Ph: (608) 255-9119 | Psychology Associates Of Madison, Llp 2010 Eastwood Dr Ste 202 Madison WI 53704-5387 Ph: (608) 255-9119 |
| NPI Number | 1902952203 |
|---|---|
| Provider Enumeration Date | 01/27/2007 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/18/2023 |
| Medicare PECOS PAC ID | 2062434921 |
|---|---|
| Medicare Enrollment ID | O20051220000921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902952203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Wendy S Upadhyay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144231804 PECOS PAC ID: 4981621620 Enrollment ID: I20051101000443 |
| Provider Name | Nancy L Goranson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265442669 PECOS PAC ID: 0749200194 Enrollment ID: I20051130000177 |
| Provider Name | Jennifer A Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609812882 PECOS PAC ID: 6103914460 Enrollment ID: I20071120000311 |
| Provider Name | Judi E Travis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548271554 PECOS PAC ID: 1850314584 Enrollment ID: I20240318000883 |
| Provider Name | Miranda Jean Van Straten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972068922 PECOS PAC ID: 2062944960 Enrollment ID: I20241016004539 |
| Provider Name | Jennifer Bliefernicht |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588972699 PECOS PAC ID: 5890221535 Enrollment ID: I20241205000883 |
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