Individual provider Active NPI

Alan R Dimond, MD

  • Child & Adolescent Psychiatry Physician
  • Middleton, WI
National Provider Identifier
1053576090
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
54469-20 Issued in WI
Practice address
8383 Greenway Blvd Ste 500
Middleton, WI 53562-3529
Phone
(608) 274-4273
Fax
(608) 274-5546
NPI assigned
Jul 18, 2008
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Child & Adolescent Psychiatry Physician 2084P0804X 54469-20 WI Primary

Addresses

Primary practice location

8383 Greenway Blvd Ste 500
Middleton, WI 53562-3529

Mailing address

8383 Greenway Blvd Ste 500
Middleton, WI 53562-3529
Phone (608) 274-0355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140320001265 WI Practitioner - Psychiatry 4284877465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Wisconsin School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Madison Psychiatric Associates, LTDGroup PAC ID 1759286271, 14 clinicians

Practice addresses (Care Compare)

8383 Greenway Blvd
Suite 500
Middleton, WI 53562-3529
Phone (608) 274-0355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52815COMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meriter Hospital, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Madison Psychiatric Associates, LTD. CurrentSince Feb 24, 2014 Accepting new patients
Meriter Hospital, Inc. CurrentSince Jan 1, 2016 Accepting new patients

Locations

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

5534 Medical Cir
Madison, WI 53719
Phone (608) 274-0355

8383 Greenway Blvd
Ste 500
Middleton, WI 53562

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1053576090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 GREENWAY BLVD STE 500",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623529",
            "telephone_number": "608-274-0355",
            "fax_number": "608-274-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 GREENWAY BLVD STE 500",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623529",
            "telephone_number": "608-274-4273",
            "fax_number": "608-274-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMOND",
        "first_name": "ALAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WI",
            "license": "54469-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

Verify at the official NPI Registry.