NPIMap

Organization Active NPI

Westside Psychotherapy LLC

  • Psychologist
  • Madison, WI
National Provider Identifier
1558769364
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2043 Issued in WI
Legal business name
WESTSIDE PSYCHOTHERAPY LLC
Practice address
313 Price PL
Suite 208
Madison, WI 53705-3299
Phone
(608) 236-4460
Fax
(608) 236-4461
NPI assigned
Dec 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Dr. Sandra Eugster, PH.D.
Title
Owner
Phone
(608) 236-4460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 2043 WI Primary

Addresses

Primary practice location

313 Price PL
Suite 208
Madison, WI 53705-3299

Mailing address

313 Price PL
Suite 208
Madison, WI 53705-3299
Phone (608) 236-4460

National Provider Directory

National Provider Directory

Locations

313 Price Pl
Ste 208
Madison, WI 53705
Phone (608) 571-3866

414 Donofrio Dr
Ste 330
Madison, WI 53719
Phone (253) 346-1373

Practitioners & affiliated clinicians

Practitioners 6

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": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1558769364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 PRICE PL",
            "address_2": "SUITE 208",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053299",
            "telephone_number": "608-236-4460",
            "fax_number": "608-236-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 PRICE PL",
            "address_2": "SUITE 208",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053299",
            "telephone_number": "608-236-4460",
            "fax_number": "608-236-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "EUGSTER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-236-4460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2043",
            "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 Dec 10, 2014; 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.