Geralyn Vaval, SAC-IT

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

20504130 Issued in WI

Practice address

555 Donofrio Dr Ste 201
Madison, WI 53719-2053

Phone

(608) 820-1395

NPI assigned

May 2, 2024

Last updated

May 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wisconsin Family Mental Balance LLC

  dba Wisconsin Family Mental Balance

  • Mental Health Counselor
  • Madison, WI
  • NPI 1598565558
  NPD Authorized official

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1649027137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 DONOFRIO DR STE 201",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192053",
            "telephone_number": "608-820-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 DONOFRIO DR STE 201",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192053",
            "telephone_number": "608-820-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAVAL",
        "first_name": "GERALYN",
        "credential": "SAC-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WI",
            "license": "20504130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quinn Audrey Vatland, MD
• Ahamed Lazim Vattoth
• Jessica M Vaughan, DNP, CNM
• William E. Vaughn, D.C.
• Abigail Elizabeth Vautrain, M.D.
• Andrey Vavrenyuk, MD
• Vanessa A Vaziri, LCSW
• Fernando Alfredo Vazquez Jr., MD
• Gabriel Esteban Vazquez, MD
• Luis Fernando Vazquez

• Substance Use Disorder Rehabilitation Clinic/Center in Madison, WI
• Providers in Madison, WI by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.