NPIMap

Organization Active NPI

Madison BH, LLC

  • Psychiatric Hospital
  • Madison, WI
National Provider Identifier
1386498012
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
MADISON BH, LLC
Practice address
5401 Quarry Park Road
Madison, WI 53718
Phone
(608) 690-7111
NPI assigned
Apr 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Brian Farley
Title
VP & Secretary
Phone
(615) 861-6000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Adult Mental Health Clinic/Center 261QM0850X
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

5401 Quarry Park Road
Madison, WI 53718

Mailing address

4020 Aspen Grove Dr Ste 900
Franklin, TN 37067-3134
Phone (615) 861-6000

Other names 1

  • Shorewood Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241009000117 WI Part A Provider - Hospital 9931630332 Practice locations: Madison, WI
O20250331000532 WI Part B Supplier - Clinic/Group Practice 9931630332 Receives reassigned benefits from 12 practitioners
Practice locations: Madison, WI

Hospital certification: CCN 524045

Legal name
MADISON BH LLC
Doing business as
SHOREWOOD BEHAVIORAL HEALTH
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Apr 2, 2025
Last certification
Apr 2, 2025
Beds
120
Ownership / control type
Private (not for profit)
Organization structure
LLCProprietary
Enrollment address
5401 Quarry Park Road
Madison, WI 53718-2412
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2311802Shorewood Behavioral Health5401 Quarry Park Road, Madison, WI 53718Certificate of waiverSep 29, 2026

National Provider Directory

National Provider Directory

Locations

5401 Quarry Park Rd
Madison, WI 53718
Phone 6086907111 ext. 109

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Deborah S Kraemer Individual W-2 Managing EmployeeVice President of Business Office O Jun 23, 2023
Jeffrey Herman Individual W-2 Managing EmployeeFacility Ceo May 27, 2024
Todd S Young Individual Corporate OfficerVice President & Treasurer Oct 27, 2025
Acadia Healthcare Company Inc Organization, Franklin, TN Corporation, For-profit, Chain home office 5% Or Greater Direct Ownership Interest Jun 23, 2023 100%
Stacie L Harty Individual W-2 Managing EmployeeVice President of Managed Care Jun 23, 2023
Brian Philip Farley Individual Corporate OfficerVice President & Secretary Jul 26, 2023
Timothy a Sides Individual W-2 Managing EmployeeSenior VP Operations & Finance Jun 5, 2023
Debra K Osteen Individual Corporate OfficerPresident Jan 20, 2026

Facilities with the same owner 59

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 59

Practitioners & affiliated clinicians

Practitioners 12

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": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1386498012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 ASPEN GROVE DR STE 900",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370673134",
            "telephone_number": "615-861-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 QUARRY PARK ROAD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53718",
            "telephone_number": "608-690-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON BH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VP &  SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shorewood Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.