Organization Active NPI

Fortitude Psychology LLC

  • Psychologist
  • Madison, WI
National Provider Identifier
1346732872
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2976 Issued in WI
Legal business name
FORTITUDE PSYCHOLOGY LLC
Practice address
6314 Odana Rd Ste E
Madison, WI 53719-1129
Phone
(608) 381-1125
NPI assigned
May 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Dr. Jaime Voss, PSY.D.
Title
Psychologist
Phone
(608) 381-1125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 2976 WI Primary

Addresses

Primary practice location

6314 Odana Rd Ste E
Madison, WI 53719-1129

Mailing address

6314 Odana Rd Ste E
Madison, WI 53719-1129
Phone (608) 381-1125

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1346732872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 ODANA RD STE E",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191129",
            "telephone_number": "608-381-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 ODANA RD STE E",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191129",
            "telephone_number": "608-381-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTITUDE PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "VOSS",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "608-381-1125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.