NPIMap

Organization Active NPI

Journey Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Madison, WI
National Provider Identifier
1174720809
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JOURNEY MENTAL HEALTH CENTER, INC.
Practice address
204 E Olin Ave
Madison, WI 53713-1434
Phone
(608) 280-2700
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
David Bertrand
Title
Coo
Phone
(608) 280-2695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

204 E Olin Ave
Madison, WI 53713-1434

Mailing address

25 Kessel CT
Ste 105
Madison, WI 53711-6227

Other practice location 1

2000 Fordem Ave
Madison, WI 53704-4600
Phone (608) 280-2700

Other identifiers 1

IdentifierTypeStateIssuer
43424900MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Journey Mental Health Center Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

25 Kessel Ct
Ste 105
Madison, WI 53711
Phone (608) 280-2636

204 E Olin Ave
Madison, WI 53713

2000 Fordem Ave
Madison, WI 53704
Phone (608) 280-2740

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1174720809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KESSEL CT",
            "address_2": "STE 105",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537116227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E OLIN AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131434",
            "telephone_number": "608-280-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Fordem Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537044600",
            "country_code": "US",
            "telephone_number": "608-280-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOURNEY MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "BERTRAND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "608-280-2695"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43424900",
            "state": "WI"
        }
    ],
    "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 Jul 1, 2024; 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.