Psychotherapy & Growth Center

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1393123 Issued in WI

Legal business name

PSYCHOTHERAPY & GROWTH CENTER

Practice address

660 W Washington Ave
Suite #307
Madison, WI 53703-4703

Phone

(608) 255-0669

Fax

(608) 255-0667

NPI assigned

Feb 27, 2008

Organization subpart

No

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

Authorized official

Name

Kim Lauree Schutt-Chardon

Title

Administrator

Phone

(608) 770-7792

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Matthew A Felgus, M.D.

  • Psychiatry Physician
  • Madison, WI
  • NPI 1487709200
  NPD (past)

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1184893752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 W WASHINGTON AVE",
            "address_2": "SUITE #307",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034703",
            "telephone_number": "608-255-0669",
            "fax_number": "608-255-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 W WASHINGTON AVE",
            "address_2": "SUITE #307",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034703",
            "telephone_number": "608-255-0669",
            "fax_number": "608-255-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY & GROWTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "SCHUTT-CHARDON",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "LAUREE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "608-770-7792"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "WI",
            "license": "1393123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42164400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Psychiatric Services SC
• Psychiatric Telehealth Services PC
• Psychological Addiction Services LLC
• Psychology Associates LLP
• Psychology Clinic Inc.
• Anne Ptaszynski, M.D.
• Public Health Madison and Dane County
• Diane M Puccetti, MD
• Laura Ann Puccetti, PHARM.D.
• David R Puchalsky, MD

• Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.