Margaret K Byfield, PHD
Individual provider Active NPI Psychologist · Monona, WI
NPI 1215909403 · NPPES record last updated Feb 15, 2013
Key facts
- NPI
- 1215909403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 1585-057 (WI)
- Practice address
- 6408 Copps Ave
Monona, WI 53716-3702 - Phone
- (608) 417-6175
- NPI assigned
- Feb 2, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1585-057 | WI | MD | Rehabilitation Practitioner |
| 1585 | WI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 1585-057 | WI | |
| Psychologist | 103T00000X | 1585-057 | WI | Yes |
Addresses
Primary practice location
6408 Copps Ave
Monona, WI 53716-3702
Mailing address
202 S Park St
Madison, WI 53715-1507
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39130000 | Medicaid | WI |
Other providers in Monona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.