| Regent Mental Health Group Sc | |
|
700 Ray O Vac Dr Ste 103 Madison WI 53711-2468 | |
| (608) 238-5826 | |
| (608) 238-1221 |
| Full Name | Regent Mental Health Group Sc |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 Ray O Vac Dr Ste 103, Madison, Wisconsin |
| Authorized Official Name and Position | Sarah C Schaettle (PARTNER/PRESIDENT) |
| Authorized Official Contact | 6082385826 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regent Mental Health Group Sc 700 Ray O Vac Dr Ste 103 Madison WI 53711-2468 Ph: (608) 238-5826 | Regent Mental Health Group Sc 700 Ray O Vac Dr Ste 103 Madison WI 53711-2468 Ph: (608) 238-5826 |
| NPI Number | 1770640286 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 07/29/2022 |
| Certification Date | 05/19/2022 |
| Medicare PECOS PAC ID | 5294053112 |
|---|---|
| Medicare Enrollment ID | O20150406000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770640286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Wisconsin) | Primary |
| Provider Name | Kristin E Brink |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962423483 PECOS PAC ID: 4688613540 Enrollment ID: I20050429000263 |
| Provider Name | Sarah C Schaettle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487749677 PECOS PAC ID: 8022102870 Enrollment ID: I20070924000542 |
| Provider Name | Margot E Wenger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508004649 PECOS PAC ID: 4880745116 Enrollment ID: I20090626000498 |
| Provider Name | Anne M O Brien |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497706394 PECOS PAC ID: 6204989965 Enrollment ID: I20090729000273 |
| Provider Name | David G Crawford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053362954 PECOS PAC ID: 2264461466 Enrollment ID: I20111130000194 |
| Provider Name | Amy C Krohn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174621445 PECOS PAC ID: 7810117124 Enrollment ID: I20141009001047 |
| Provider Name | Mary Hollinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841328291 PECOS PAC ID: 6103117239 Enrollment ID: I20160621002239 |
| Provider Name | Aishling Anne Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326583428 PECOS PAC ID: 5092097824 Enrollment ID: I20170131000680 |
| Provider Name | Sara Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922318377 PECOS PAC ID: 9032455381 Enrollment ID: I20190108002595 |
| Provider Name | Julia Rhodes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013432368 PECOS PAC ID: 1254716699 Enrollment ID: I20220921000309 |
| Provider Name | Natalie J Duhr Stowell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861733032 PECOS PAC ID: 6103276373 Enrollment ID: I20231229002230 |
Nrrc, Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 N Blackhawk Ave, Suite 100, Madison, WI 53705 Phone: 608-616-0118 Fax: 608-663-5928 | |
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