JJD Madison Holdings

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

JJD MADISON HOLDINGS

Doing business as

Madison Recovery Center

Practice address

301 South Livingston St Ste 200
Madison, WI 53703-5401

Phone

(608) 438-3131

NPI assigned

Sep 21, 2023

Organization subpart

No

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

Authorized official

Name

Jack McKenzie

Title

Partner

Phone

(608) 438-3131

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Madison Recovery Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1184402968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SOUTH LIVINGSTON ST STE 200",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537035401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SOUTH LIVINGSTON ST STE 200",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537035401",
            "telephone_number": "608-438-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJD MADISON HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "608-438-3131"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH SERVICES",
            "identifier": "3517",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Madison Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chamil Vidusha Madushan Jinadasa, MBBS
• Kazuaki Jindai, M.D.
• Ayad Jindeel, M.D.
• Jessica Michala Jindra, MD
• Kayla Ruth Jischke, MSW, APSW
• Jnpeterson
• Lori Anne Joas
• Rachael Maerie Jocewicz, AUD
• Caitlin Jochimsen, LAT, MS
• Susan Jodie

• Substance Abuse Rehabilitation Facility in Madison, WI
• Providers in Madison, WI by specialty
• Substance Abuse Rehabilitation Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.