Individual provider Active NPI

Nancy Conant Pullen, PHD MS RN LPC

  • Counselor
  • Madison, WI
National Provider Identifier
1700069440
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
122 E Olin Ave
Suite #220 - Psychology Associates
Madison, WI 53713-1487
Phone
(608) 255-9119
Fax
(608) 255-9219
NPI assigned
Dec 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X WI Primary

Addresses

Primary practice location

122 E Olin Ave
Suite #220 - Psychology Associates
Madison, WI 53713-1487

Mailing address

122 E Olin Ave
Suite #220 - Psychology Associates
Madison, WI 53713-1487
Phone (608) 255-9119

Other identifiers 1

IdentifierTypeStateIssuer
3909497080MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science, Doctor of Philosophy, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Associates LLP PastSince Oct 10, 2005 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1700069440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E OLIN AVE",
            "address_2": "SUITE #220 - PSYCHOLOGY ASSOCIATES",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131487",
            "telephone_number": "608-255-9119",
            "fax_number": "608-255-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E OLIN AVE",
            "address_2": "SUITE #220 - PSYCHOLOGY ASSOCIATES",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131487",
            "telephone_number": "608-255-9119",
            "fax_number": "608-255-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLEN",
        "first_name": "NANCY",
        "middle_name": "CONANT",
        "credential": "PHD MS RN LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3909497080",
            "state": "WI"
        }
    ],
    "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 Jun 23, 2015; 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.