Neurodiversity & Disability Affirming Therapy LTD.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

NEURODIVERSITY & DISABILITY AFFIRMING THERAPY LTD.

Practice address

541 S Randall Ave
Madison, WI 53715

Phone

(262) 427-8420

NPI assigned

Jan 26, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Marie Brooks, PHDNPI 1346457231

Title

Owner, Psychologist

Phone

(608) 963-1380

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

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

• Jessica M Brooks, PHD, CRC

  • Psychologist
  • Madison, WI
  • NPI 1346457231
  Medicare reassignment Authorized official
• Katherine Balthazor, MS, LPC, CRC

  • Professional Counselor
  • Monona, WI
  • NPI 1649167594
  Medicare reassignment

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1194587923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 S RANDALL AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 S RANDALL AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53715",
            "telephone_number": "262-427-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODIVERSITY & DISABILITY AFFIRMING THERAPY LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER, PSYCHOLOGIST",
        "authorized_official_telephone_number": "608-963-1380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Brian Neumann
• Doris Neumann
• Mary Kay Neumann, M.S.S.W., L.C.S.W.
• Joan M Neuner, MD
• John Cornelius Neupert, MS, CSAC, LCSW
• Audrey E Nevala, LCSW
• Mary A Nevin, MD
• Kathy S Nevins, P.T.
• Margaret Nevins, NP
• New Beginnings Behavioral Health, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.