| The Integral Psychology Center | |
|
1619 Monroe St Madison WI 53711-2063 | |
| (608) 255-9330 | |
| (608) 255-7810 |
| Full Name | The Integral Psychology Center |
|---|---|
| Speciality | Counselor |
| Location | 1619 Monroe St, Madison, Wisconsin |
| Authorized Official Name and Position | Dennis Merritt (PRESIDENT) |
| Authorized Official Contact | 6082559330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Integral Psychology Center 1619 Monroe St Madison WI 53711-2063 Ph: (608) 255-9330 | The Integral Psychology Center 1619 Monroe St Madison WI 53711-2063 Ph: (608) 255-9330 |
| NPI Number | 1366481749 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7810092996 |
|---|---|
| Medicare Enrollment ID | O20070418000320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366481749 | NPI | - | NPPES |
| 42162900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1914 (Wisconsin) | Primary |
| Provider Name | Jodi Streicher-bremer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689758005 PECOS PAC ID: 6406957307 Enrollment ID: I20070723000311 |
| Provider Name | Lauren L Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457458184 PECOS PAC ID: 9537224878 Enrollment ID: I20090219000476 |
| Provider Name | Erika Lund |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679680565 PECOS PAC ID: 4082518352 Enrollment ID: I20151105002262 |
| Provider Name | Nicolle Elaine Levy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740271477 PECOS PAC ID: 7618361833 Enrollment ID: I20220310002697 |
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