Organization Active NPI

Mind and Match Wisconsin, S.C.

  • Psychologist
  • Madison, WI
National Provider Identifier
1609634369
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MIND AND MATCH WISCONSIN, S.C.
Practice address
901 S Whitney Way
Madison, WI 53711-2553
Phone
(608) 284-8867
NPI assigned
Mar 7, 2024
Last updated
Sep 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Melissa OdorzynskiNPI 1831233261
Title
Authorized Agent
Phone
(608) 284-8867

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

901 S Whitney Way
Madison, WI 53711-2553

Mailing address

867 Boylston St # 1582
Boston, MA 02116-2774

National Provider Directory

National Provider Directory

Locations

867 Boylston St
#1582
Boston, MA 02116

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1609634369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 BOYLSTON ST # 1582",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S WHITNEY WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112553",
            "telephone_number": "608-284-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND MATCH WISCONSIN, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "ODORZYNSKI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "608-284-8867"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "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 Sep 10, 2026; 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.