Organization Active NPI

Psychiatric Telehealth Services PC

  • Adolescent and Children Mental Health Clinic/Center
  • Madison, WI
National Provider Identifier
1649925108
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
PSYCHIATRIC TELEHEALTH SERVICES PC
Practice address
821 E Washington Ave FL 2
Madison, WI 53703-4647
Phone
(008) 516-0975
Fax
(608) 709-8102
NPI assigned
Feb 14, 2022
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BEND HEALTH PSYCHIATRIC SERVICES NEW ENGLAND PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Dr. Monika Drummond Roots, MD
Title
President
Phone
(612) 250-9737

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary
Clinical Social Worker 1041C0700X NU
Registered Nurse 163W00000X NU
Child & Adolescent Psychiatry Physician 2084P0804X NU
Health & Wellness Coach 171400000X NU

Addresses

Primary practice location

821 E Washington Ave FL 2
Madison, WI 53703-4647

Mailing address

2640 White Oak Cir Ste C
Aurora, IL 60502-4809
Phone (800) 516-0975

National Provider Directory

National Provider Directory
Part of
Bend Health Psychiatric Services New England PA

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1649925108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 WHITE OAK CIR STE C",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605024809",
            "telephone_number": "800-516-0975",
            "fax_number": "608-709-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E WASHINGTON AVE FL 2",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034647",
            "telephone_number": "008-516-0975",
            "fax_number": "608-709-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC TELEHEALTH SERVICES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEND HEALTH PSYCHIATRIC SERVICES NEW ENGLAND PA",
        "enumeration_date": "2022-02-14",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "ROOTS",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_middle_name": "DRUMMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-250-9737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 16, 2025; 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.