Organization Active NPI

Strata Psychotherapy & ADHD Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
National Provider Identifier
1023519956
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
STRATA PSYCHOTHERAPY & ADHD SERVICES, LLC
Practice address
6701 Seybold Rd Ste 114
Madison, WI 53719-1388
Phone
(608) 577-6289
NPI assigned
Feb 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2018

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

Authorized official

Name
Charles Matz, MS MFT-ITNPI 1801333497
Title
Owner/Therapist
Phone
(608) 577-6289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

6701 Seybold Rd Ste 114
Madison, WI 53719-1388

Mailing address

733 Struck St Unit 45031
Madison, WI 53744-3636
Phone (608) 577-6289

Other identifiers 1

IdentifierTypeStateIssuer
14001869OtherCAQH

National Provider Directory

National Provider Directory

Locations

733 Struck St
Unit 45031
Madison, WI 53744
Phone (608) 577-6289

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519603200000",
    "number": "1023519956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 STRUCK ST UNIT 45031",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537443636",
            "telephone_number": "608-577-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 SEYBOLD RD STE 114",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191388",
            "telephone_number": "608-577-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATA PSYCHOTHERAPY & ADHD SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A",
        "authorized_official_last_name": "MATZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "608-577-6289",
        "authorized_official_credential": "MS MFT-IT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14001869",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.