NPIMap

Organization Active NPI

McPst Management Corporation

Doing business as Midwest Ctr for Psychotherapy & Sex Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Middleton, WI
National Provider Identifier
1619918877
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MCPST MANAGEMENT CORPORATION
Doing business as
Midwest Ctr for Psychotherapy & Sex Therapy
Practice address
6300 University Ave
Suite 125
Middleton, WI 53562-3463
Phone
(608) 237-8000
Fax
(608) 237-8005
NPI assigned
Jun 9, 2006
Last updated
Sep 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Ms. Jennifer Wilgocki, MSNPI 1053338806
Title
Corporation President
Phone
(608) 237-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

6300 University Ave
Suite 125
Middleton, WI 53562-3463

Mailing address

6300 University Ave
Suite 125
Middleton, WI 53562-3463
Phone (608) 237-8000

Other identifiers 1

IdentifierTypeStateIssuer
42172000MedicaidWI

Other names 1

  • MIDWEST CTR FOR PSYCHOTHERAPY & SEX THERAPY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040902000333 WI Part B Supplier - Clinic/Group Practice 4880660778 Receives reassigned benefits from 15 practitioners
Practice locations: Middleton, WI

National Provider Directory

National Provider Directory

Locations

426 S Yellowstone Dr
Ste 225
Madison, WI 53719
Phone (608) 829-3880

901 Deming Way
Ste 302
Madison, WI 53717

6300 University Ave
Ste 125
Middleton, WI 53562
Phone (608) 237-8000

6300 University Ave
Ste 225
Middleton, WI 53562
Phone (608) 237-8000

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1619918877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 UNIVERSITY AVE",
            "address_2": "SUITE 125",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623463",
            "telephone_number": "608-237-8000",
            "fax_number": "608-237-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 UNIVERSITY AVE",
            "address_2": "SUITE 125",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623463",
            "telephone_number": "608-237-8000",
            "fax_number": "608-237-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCPST MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "WILGOCKI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CORPORATION PRESIDENT",
        "authorized_official_telephone_number": "608-237-8000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42172000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDWEST CTR FOR PSYCHOTHERAPY & SEX THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.