Monona Mediation and Counseling LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1774-057 Issued in WI

Legal business name

MONONA MEDIATION AND COUNSELING LLC

Practice address

6320 Monona Dr Ste 314
Monona, WI 53716-3985

Phone

(608) 442-3420

Fax

(608) 443-3421

NPI assigned

Oct 31, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Hugh Waldron, PH.D.

Title

Owner-Psychologist

Phone

(608) 442-3420

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Carol M Murray, LCSW

  • Clinical Social Worker
  • Monona, WI
  • NPI 1780628230
  NPD (past)

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

{
    "created_epoch": "1256947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256947200000",
    "number": "1073849717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 MONONA DR STE 314",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163985",
            "telephone_number": "608-442-3420",
            "fax_number": "608-443-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 MONONA DR STE 314",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163985",
            "telephone_number": "608-442-3420",
            "fax_number": "608-443-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONONA MEDIATION AND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-31",
        "last_updated": "2009-10-31",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "OWNER-PSYCHOLOGIST",
        "authorized_official_telephone_number": "608-442-3420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1774-057",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "913-123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Allen Miller
• Christine Lyn Mills, PHARMD
• Vincent J Minichiello, MD
• Kristina Modaff
• Monona Dental II, LLC
• Monona Riverplace Dental, LLC
• Christine M Moore, LPC, SW
• Nicole Moscinski, LMFT
• Kristin M. Muckian, OT
• Melissa Beth Murphy, D.C,

• Psychologist in Monona, WI
• Providers in Monona, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2009; 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.