Robert M McCreadie, CSAC, ICS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15500-132 Issued in WI

Practice address

5005 University Ave
Madison, WI 53705-5439

Phone

(608) 233-2100

Fax

(608) 233-2101

NPI assigned

Jul 31, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Connections Counseling, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Madison, WI
  • NPI 1497961551
  NPD (past)

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1497986079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N GRAND AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864984",
            "telephone_number": "262-409-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 UNIVERSITY AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537055439",
            "telephone_number": "608-233-2100",
            "fax_number": "608-233-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2422 N Grandview Blvd",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531886105",
            "country_code": "US",
            "telephone_number": "262-549-6600 x44",
            "fax_number": "262-549-6698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 N Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531864984",
            "country_code": "US",
            "telephone_number": "262-409-5462",
            "fax_number": "262-458-4102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCREADIE",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "CSAC, ICS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-31",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15474131",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15500-132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497986079",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Ann McCoy, SLP MS-CCC
• Daniel R. McCoy, PHARM.D., R.PH.
• Jennifer McCoy
• Kathleen Siobhan McCraw, PHD
• Holland McCrea Olson, M.S. MFT
• Erin Kristin McCreary, PHARMD
• David Michael McCrumb
• Eric T. McCue, PA-C
• Kaitlin Chelsea McCulley
• Connie Sue McCullick, APNP

• Addiction (Substance Use Disorder) Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.