Active NPI
Wisconsin Psychotherapy and Healing Center
- Clinical Psychologist
- Madison, WI
National Provider Identifier
1518347764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- WISCONSIN PSYCHOTHERAPY AND HEALING CENTER
- Practice address
- 6401 Odana Rd Ste 13
Madison, WI 53719-1126 - Phone
- (608) 288-8022
- NPI assigned
- Jun 3, 2015
- 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
- Jolien Connor
- Title
- Billing Manager
- Phone
- (202) 641-3750
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
6401 Odana Rd Ste 13
Madison, WI 53719-1126
Mailing address
6401 Odana Rd Ste 13
Madison, WI 53719-1126
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Madison, WI
- NPI 1932272069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433289600000",
"number": "1518347764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6401 ODANA RD STE 13",
"city": "MADISON",
"state": "WI",
"postal_code": "537191126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 ODANA RD STE 13",
"city": "MADISON",
"state": "WI",
"postal_code": "537191126",
"telephone_number": "608-288-8022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WISCONSIN PSYCHOTHERAPY AND HEALING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-03",
"last_updated": "2015-06-03",
"status": "A",
"authorized_official_last_name": "CONNOR",
"authorized_official_first_name": "JOLIEN",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "202-641-3750"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
- Wisconsin Institute for Learning Disabilities/Dyslexia Inc. (Wildd)
- Wisconsin Luna Care Physical Therapy LLC
- Wisconsin Pathologists, S.C.
- Wisconsin Physicians Eyecare Group, S.C.
- Wisconsin Psychological Center
- Wisconsin Psychotherapy and Healing Center, Inc.
- Wisconsin Sleep, Inc
- Wisconsin Speech and Swallow Therapy LLC
- Wisconsin Support Services LLC
- Wisconsin Therapy Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.