NPIMap

Organization Active NPI

Bend Health Psychiatric Services Midwest PC

  • Adolescent and Children Mental Health Clinic/Center
  • Madison, WI
National Provider Identifier
1063177251
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
BEND HEALTH PSYCHIATRIC SERVICES MIDWEST PC
Practice address
821 E Washington Ave FL 2
Madison, WI 53703-4647
Phone
(800) 516-0975
Fax
(608) 709-8102
NPI assigned
Nov 3, 2021
Organization subpart
Yes
Parent organization
BEND HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Dr. Monika Drummond Roots
Title
President
Phone
(612) 250-9737

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

821 E Washington Ave FL 2
Madison, WI 53703-4647

Mailing address

2640 White Oak Cir Ste C
Aurora, IL 60502-4809
Phone (800) 516-0975

National Provider Directory

National Provider Directory
Part of
Bend Health Inc

Locations

2640 White Oak Cir
Ste C
Aurora, IL 60502

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1063177251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 WHITE OAK CIR STE C",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605024809",
            "telephone_number": "800-516-0975",
            "fax_number": "608-709-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E WASHINGTON AVE FL 2",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034647",
            "telephone_number": "800-516-0975",
            "fax_number": "608-709-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND HEALTH PSYCHIATRIC SERVICES MIDWEST PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEND HEALTH INC",
        "enumeration_date": "2021-11-03",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "ROOTS",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_middle_name": "DRUMMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-250-9737",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 16, 2025; 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.