| The Psychology Center S C | |
|
7617 Mineral Point Rd Ste 300 Madison WI 53717-1623 | |
| (608) 833-9290 | |
| (608) 833-9691 |
| Full Name | The Psychology Center S C |
|---|---|
| Speciality | Clinic/Center |
| Location | 7617 Mineral Point Rd Ste 300, Madison, Wisconsin |
| Authorized Official Name and Position | Sarah Romens (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6088339290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Psychology Center S C 7617 Mineral Point Rd Ste 300 Madison WI 53717-1623 Ph: (608) 833-9290 | The Psychology Center S C 7617 Mineral Point Rd Ste 300 Madison WI 53717-1623 Ph: (608) 833-9290 |
| NPI Number | 1710942107 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Medicare PECOS PAC ID | 6507857463 |
|---|---|
| Medicare Enrollment ID | O20040519001379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710942107 | NPI | - | NPPES |
| 42146700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Wisconsin) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ben Green |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104882927 PECOS PAC ID: 4486649258 Enrollment ID: I20040420000316 |
| Provider Name | Linda S Albert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396713723 PECOS PAC ID: 4183605116 Enrollment ID: I20040526000816 |
| Provider Name | Suzanne E Drennan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598722738 PECOS PAC ID: 9638102908 Enrollment ID: I20050916000263 |
| Provider Name | Raymond J Koziol |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447286653 PECOS PAC ID: 4284764127 Enrollment ID: I20100618000819 |
| Provider Name | Karla J Handel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386663060 PECOS PAC ID: 6507052883 Enrollment ID: I20101129000753 |
| Provider Name | Jennifer A Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033304852 PECOS PAC ID: 8628252335 Enrollment ID: I20110405000037 |
| Provider Name | Ronald J May |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497711899 PECOS PAC ID: 7315111531 Enrollment ID: I20111123000621 |
| Provider Name | Janet L Bauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194904698 PECOS PAC ID: 7113172834 Enrollment ID: I20130304000353 |
| Provider Name | Daniel J Goodnature |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750719910 PECOS PAC ID: 7517194962 Enrollment ID: I20131211000403 |
| Provider Name | Daniel P Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225342280 PECOS PAC ID: 3072743038 Enrollment ID: I20140313001233 |
| Provider Name | Katherine M Dahl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306276746 PECOS PAC ID: 2961627120 Enrollment ID: I20140701001137 |
| Provider Name | Sarah E Romens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831593482 PECOS PAC ID: 8224350178 Enrollment ID: I20141203000974 |
| Provider Name | Tegan M Corrigan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770964264 PECOS PAC ID: 4688982879 Enrollment ID: I20151008000979 |
| Provider Name | Stacy L Killinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205204096 PECOS PAC ID: 3678873098 Enrollment ID: I20151207003055 |
| Provider Name | Lori J Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235588773 PECOS PAC ID: 6204979040 Enrollment ID: I20160624001380 |
| Provider Name | Julia C Harkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518269414 PECOS PAC ID: 9234313040 Enrollment ID: I20170130003043 |
| Provider Name | Marianne G Krouk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881800902 PECOS PAC ID: 0749360873 Enrollment ID: I20180111001957 |
| Provider Name | John Patrick Bruner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508387317 PECOS PAC ID: 9133469190 Enrollment ID: I20190329000359 |
| Provider Name | Carla Mae Davey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902337785 PECOS PAC ID: 4880923507 Enrollment ID: I20190905002481 |
| Provider Name | Lea Mcintosh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285936963 PECOS PAC ID: 8224367974 Enrollment ID: I20190905003581 |
| Provider Name | Molly Kring |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982214409 PECOS PAC ID: 1557720216 Enrollment ID: I20230629000536 |
| Provider Name | Laura R Prado |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770143620 PECOS PAC ID: 0345601258 Enrollment ID: I20230725001717 |
| Provider Name | Matthew E Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649051160 PECOS PAC ID: 3375995392 Enrollment ID: I20240116000920 |
| Provider Name | Michal Y Herbsman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417685207 PECOS PAC ID: 9931542727 Enrollment ID: I20240208002482 |
| Provider Name | Laura D Rajala |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699239673 PECOS PAC ID: 7315381969 Enrollment ID: I20240222000772 |
| Provider Name | Danielle A Ogno |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043235831 PECOS PAC ID: 9830536085 Enrollment ID: I20240322002871 |
| Provider Name | Justin Mistretta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346858792 PECOS PAC ID: 1355788563 Enrollment ID: I20240325000197 |
| Provider Name | Rachel N Bogatay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629844139 PECOS PAC ID: 3577903285 Enrollment ID: I20240429001982 |
| Provider Name | Nancy K Yaffe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982623641 PECOS PAC ID: 1557707205 Enrollment ID: I20240531003045 |
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