NPIMap

Organization Active NPI

Madison Behavioral Psychology, LLC

  • Psychologist
  • Madison, WI
National Provider Identifier
1356736565
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2953-57 Issued in WI
Legal business name
MADISON BEHAVIORAL PSYCHOLOGY, LLC
Practice address
7818 Big Sky Dr Ste 210
Madison, WI 53719-3524
Phone
(608) 729-7333
Fax
(608) 260-7718
NPI assigned
Apr 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Authorized official

Name
Dr. Robert T. Peyton, PH.D., BCBA-DNPI 1780998369
Title
Owner
Phone
(608) 729-7333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 2953-57 WI Primary

Addresses

Primary practice location

7818 Big Sky Dr Ste 210
Madison, WI 53719-3524

Mailing address

7818 Big Sky Dr Ste 210
Madison, WI 53719-3524

National Provider Directory

National Provider Directory

Locations

7818 Big Sky Dr
Ste 210
Madison, WI 53719
Phone (608) 291-4830

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1356736565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7818 BIG SKY DR STE 210",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537193524",
            "fax_number": "608-260-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7818 BIG SKY DR STE 210",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537193524",
            "telephone_number": "608-729-7333",
            "fax_number": "608-260-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON BEHAVIORAL PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "PEYTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-729-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2953-57",
            "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 Apr 3, 2015; 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.