Chameleon Group

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CHAMELEON GROUP

Doing business as

Wisconsin Young Autism Project

Practice address

6402 Odana Rd
Madison, WI 53719-1123

Phone

(608) 288-9040

Fax

(608) 288-9042

NPI assigned

Apr 28, 2008

Last updated

Apr 28, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kim Lauree Schutt-Chardon

Title

Director of Billing

Phone

(608) 288-9040

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wisconsin Young Autism Project Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• The Community Tree

  • Speech-Language Pathologist
  • Madison, WI
  • NPI 1326299355
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1023283397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 ODANA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191123",
            "telephone_number": "608-288-9040",
            "fax_number": "608-288-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 ODANA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191123",
            "telephone_number": "608-288-9040",
            "fax_number": "608-288-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMELEON GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "SCHUTT-CHARDON",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "LAUREE",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "608-288-9040"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42223400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wisconsin Young Autism Project",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rajit Chakravarty, MD
• Michael Robert Chalifoux, M.D.
• Martin Challenger, DDS
• Brittany J. Chambers, PA-C
• Starla Dawn Chambrose, CGC
• Chamomile Assisted Living, LTD.
• Chamomile II Assisted Living, LTD.
• Teresa Maria Chamorro, PSYD
• Andrew W Champion, MA, LPC
• Brian Yang Chan, MD

• Clinical Psychologist in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.