Geriatric Psychiatric Services PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

GERIATRIC PSYCHIATRIC SERVICES PLLC

Practice address

2024 Adderbury LN
Madison, WI 53711-4002

Phone

(734) 883-3021

NPI assigned

Oct 20, 2009

Organization subpart

Yes

Parent organization

GERIATRIC PSYCHIATRIC SERVICES PLLCAs reported in NPPES

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

Authorized official

Name

Robert Clemente

Title

Manager

Phone

(248) 619-9771

Specialties & licenses 1

Addresses

Other names 1

• Psychologist Group Other name

Part of

Geriatric Psychiatric PLLC

Practitioners 1

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

• Vonnie Sisauyhoat, PH.D.

  • Clinical Psychologist
  • Madison, WI
  • NPI 1245284462
  NPD (past)

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1235465659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30781 STEPHENSON HWY",
            "city": "MADISON HTS",
            "state": "MI",
            "postal_code": "480711618",
            "telephone_number": "248-583-8922",
            "fax_number": "248-583-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 ADDERBURY LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537114002",
            "telephone_number": "734-883-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GERIATRIC PSYCHIATRIC SERVICES PLLC",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "CLEMENTE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-619-9771"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychologist Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melissa Gerber, BCBA
• Dale A Gerdes, MD
• Linda K Geren, MSN,FNP-C
• Anne Gergen
• Holly L. Gerhard, RD
• Paul W Gerlach, RDN
• Sara Gerlach, M.D.
• Benjamin German, RN
• Laura German
• Margarita Nisman German, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.