Organization Active NPI

Accelerated Psychiatry, SC

  • Psychiatry Physician
  • Madison, WI
National Provider Identifier
1619644358
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ACCELERATED PSYCHIATRY, SC
Practice address
6502 Grand Teton PLZ Ste 107
Madison, WI 53719-1047
Phone
(608) 820-1570
Fax
(608) 305-8848
NPI assigned
Aug 29, 2021
Last updated
Jul 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Brendon NacewiczNPI 1437463619
Title
President
Phone
(608) 820-1570

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

6502 Grand Teton PLZ Ste 107
Madison, WI 53719-1047

Mailing address

6502 Grand Teton PLZ Ste 107
Madison, WI 53719-1047
Phone (608) 820-1570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211220002447 WI Part B Supplier - Clinic/Group Practice 4385035740 Receives reassigned benefits from 2 practitioners
Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Locations

6502 Grand Teton Plz
Ste 107
Madison, WI 53719
Phone (608) 405-5689

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": "1630195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1619644358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 GRAND TETON PLZ STE 107",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191047",
            "telephone_number": "608-820-1570",
            "fax_number": "608-305-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 GRAND TETON PLZ STE 107",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191047",
            "telephone_number": "608-820-1570",
            "fax_number": "608-305-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCELERATED PSYCHIATRY, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-29",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "NACEWICZ",
        "authorized_official_first_name": "BRENDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-820-1570"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "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 Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.