Active NPI
Kathy J. Russeth, M.D., S.C.
- Child & Adolescent Psychiatry Physician
- Madison, WI
National Provider Identifier
1700564382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Legal business name
- KATHY J. RUSSETH, M.D., S.C.
- Practice address
- 345 W Washington Ave Ste 307
Madison, WI 53703-6019 - Phone
- (414) 395-5435
- NPI assigned
- Jul 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kathy J Russeth, MD
- Title
- President
- Phone
- (608) 305-4150
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | Primary |
Addresses
Primary practice location
345 W Washington Ave Ste 307
Madison, WI 53703-6019
Mailing address
345 W Washington Ave Ste 307
Madison, WI 53703-6019
Phone (608) 305-4150
Other names 2
- Centered Psychiatry
- Kathy J. Russeth, M.D., S.C.
National Provider Directory
National Provider DirectoryLocations
345 W Washington Ave
Ste 307
Madison, WI 53703
Phone (414) 395-5435
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Madison, WI
- NPI 1275692030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728000000000",
"number": "1700564382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 W WASHINGTON AVE STE 307",
"city": "MADISON",
"state": "WI",
"postal_code": "537036019",
"telephone_number": "608-305-4150",
"fax_number": "608-305-8736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 W WASHINGTON AVE STE 307",
"city": "MADISON",
"state": "WI",
"postal_code": "537036019",
"telephone_number": "414-395-5435"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHY J. RUSSETH, M.D., S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-05",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A",
"authorized_official_last_name": "RUSSETH",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "608-305-4150",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Centered Psychiatry",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kathy J. Russeth, M.D., S.C.",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 4, 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.