Metta Bhavana LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

METTA BHAVANA LLC

Practice address

330 W Lakeside St
Madison, WI 53715-2072

Phone

(608) 561-7533

NPI assigned

Apr 10, 2023

Organization subpart

No

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

Authorized official

Name

Devin Coogan, LCSWNPI 1740762327

Title

Owner

Phone

(505) 231-6658

Specialties & licenses 1

Addresses

Tax ID family

Metta Bhavana LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Metta Bhavana LLC

  • Adult Mental Health Clinic/Center
  • Santa Fe, NM
  • NPI 1386370476
  NPD tax ID

Locations

Practitioners 1

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

• Devin Coogan

  • Clinical Social Worker
  • Santa Fe, NM
  • NPI 1740762327
  NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686355200000",
    "number": "1588359129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W LAKESIDE ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537152072",
            "telephone_number": "608-561-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W LAKESIDE ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537152072",
            "telephone_number": "608-561-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METTA BHAVANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-06-10",
        "certification_date": "2023-06-10",
        "status": "A",
        "authorized_official_last_name": "COOGAN",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-231-6658",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metabolic Analysis Labs Inc
• Brandon Michael Metcalf, M.D., M.P.H.
• Heather Marie Metcalf
• Janis Metcalf, BSW
• Elizabeth C Meter Brooks, NP
• Samantha Alyce Metz, LMT
• Aimee M Metzger, LCSW
• Hanna Metzger
• Marissa Metzger
• Jennifer Lynn Meudt

• Adult Mental Health Clinic/Center in Madison, WI
• Providers in Madison, WI by specialty
• Adult Mental Health Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2023; 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.