NPIMap

Organization Active NPI

Janesville Psychiatric Clinic

  • Clinical Medical Laboratory
  • Janesville, WI
National Provider Identifier
1619311321
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
52D2055176 Issued in WI
Legal business name
JANESVILLE PSYCHIATRIC CLINIC
Practice address
15 W Milwaukee St
Suite 206
Janesville, WI 53548-2998
Phone
(608) 755-1475
NPI assigned
Apr 24, 2013
Last updated
Apr 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
William L Hollingsworth
Title
Director
Phone
(608) 755-1475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 52D2055176 WI Primary

Addresses

Primary practice location

15 W Milwaukee St
Suite 206
Janesville, WI 53548-2998

Mailing address

15 W Milwaukee St
Suite 206
Janesville, WI 53548-2998
Phone (608) 755-1475

National Provider Directory

National Provider Directory
Tax ID family
Janesville Psychiatric Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

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": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1619311321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W MILWAUKEE ST",
            "address_2": "SUITE 206",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482998",
            "telephone_number": "608-755-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W MILWAUKEE ST",
            "address_2": "SUITE 206",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482998",
            "telephone_number": "608-755-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANESVILLE PSYCHIATRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-755-1475"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WI",
            "license": "52D2055176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.