Active NPI
SBH-Madison LLC
- Psychiatry Physician
- Middleton, WI
National Provider Identifier
1265189013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- SBH-MADISON LLC
- Practice address
- 3169 Deming Way
Middleton, WI 53562-1435 - Phone
- (608) 716-8288
- NPI assigned
- Mar 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Gilbert
- Title
- Chief Legal Officer
- Phone
- (615) 716-4924
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
3169 Deming Way
Middleton, WI 53562-1435
Mailing address
3169 Deming Way
Middleton, WI 53562-1435
Phone (608) 690-6880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100192621 | Medicaid | WI |
Other names 1
- Miramont Physician Group
National Provider Directory
National Provider Directory- Tax ID family
- SBH-Madison LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Hospital
- Middleton, WI
- NPI 1003413816
-
- Psychiatric Hospital
- Middleton, WI
- NPI 1023884871
Locations
3169 Deming Way
Middleton, WI 53562
Phone (608) 716-8286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761696000000",
"number": "1265189013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3169 DEMING WAY",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535621435",
"telephone_number": "608-690-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3169 DEMING WAY",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535621435",
"telephone_number": "608-716-8288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SBH-MADISON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-02",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A",
"authorized_official_last_name": "GILBERT",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
"authorized_official_telephone_number": "615-716-4924"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100192621",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Miramont Physician Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Miramont Physician Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Middleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.