Active NPI
Nancy Conant Pullen, PHD MS RN LPC
- Counselor
- Madison, WI
National Provider Identifier
1700069440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3909497080 | Medicaid | WI |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychology Associates LLP | Past | 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.
-
dba Psychology Associates of Madison, LLP
- Professional Counselor
- Madison, WI
- NPI 1902952203
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.