Madison Center, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

406-14-PIP Issued in IN

Legal business name

MADISON CENTER, INC.

Practice address

403 E Madison St
South Bend, IN 46617-2322

Phone

(574) 234-0061

Fax

(574) 283-1209

NPI assigned

Jan 8, 2007

Organization subpart

Yes

Parent organization

MADISON CENTER, INC.As reported in NPPES

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

Authorized official

Name

Brenda J Clanton III

Title

Contracts Manager

Phone

(574) 283-1107

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Madison Center Inc4 organizations share this tax ID, including this one

Part of

Madison Center Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Madison Center, Inc.

  • Psychiatric Residential Treatment Facility
  • South Bend, IN
  • NPI 1104974989
  NPD tax ID
• Madison Center, Inc.

  • Community/Behavioral Health Agency
  • South Bend, IN
  • NPI 1265698120
  NPD tax ID
• Madison Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Bend, IN
  • NPI 1750411872
  NPD tax ID

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.

• Madison Center, Inc.

  • Psychiatric Hospital
  • South Bend, IN
  • NPI 1073565131
  NPPES parent name

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1174671952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E MADISON ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172322",
            "telephone_number": "574-234-0061",
            "fax_number": "574-283-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E MADISON ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172322",
            "telephone_number": "574-234-0061",
            "fax_number": "574-283-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MADISON CENTER, INC.",
        "enumeration_date": "2007-01-08",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "CLANTON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CONTRACTS MANAGER",
        "authorized_official_telephone_number": "574-283-1107",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IN",
            "license": "406-14-PIP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100451660A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rehema Madamu
• Kara Marie Madaras, P.T.A.
• Jeffrey S Mader, D.D.S.
• Madison Center, Inc.
• Madison Center, Inc.
• Madison Center, Inc.
• Madison Center, Inc.
• Madison Center, Inc.
• Andrea Madrigal
• Kristen Michelle Madson, PHARMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in South Bend, IN
• Providers in South Bend, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.