Organization Active NPI

Anise Psychology LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
National Provider Identifier
1649038340
Registry record updated Mar 8, 2024
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
ANISE PSYCHOLOGY LLC
Practice address
6709 Raymond Rd Ste 114
Madison, WI 53719-3943
Phone
(608) 688-6486
Fax
(608) 403-3760
NPI assigned
Mar 8, 2024
Last updated
Mar 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Dr. Nnenna Nwankwo, PSYDNPI 1922378710
Title
Clinical Psychologist
Phone
(608) 688-6486

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

Addresses

Primary practice location

6709 Raymond Rd Ste 114
Madison, WI 53719-3943

Mailing address

6709 Raymond Rd Ste 114
Madison, WI 53719-3943
Phone (608) 688-6486

National Provider Directory

National Provider Directory

Locations

6709 Raymond Rd
Ste 114
Madison, WI 53719
Phone (608) 688-6486

Practitioners & affiliated clinicians

Practitioners 1

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": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1649038340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 RAYMOND RD STE 114",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537193943",
            "telephone_number": "608-688-6486",
            "fax_number": "608-403-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 RAYMOND RD STE 114",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537193943",
            "telephone_number": "608-688-6486",
            "fax_number": "608-403-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANISE PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "NWANKWO",
        "authorized_official_first_name": "NNENNA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "608-688-6486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Mar 8, 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.