Organization Active NPI

Kathy J. Russeth, M.D., S.C.

  • Child & Adolescent Psychiatry Physician
  • Madison, WI
National Provider Identifier
1700564382
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
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

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Dr. Kathy J Russeth, MDNPI 1275692030
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)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as
  • Kathy J. Russeth, M.D., S.C. Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.