NPIMap

Individual provider Active NPI

Linda A. Diraimondo, M.D.

  • Psychiatry Physician
  • Mauston, WI
National Provider Identifier
1821159138
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
423070 020 Issued in WI
Practice address
200 S Hickory St
Mauston, WI 53948-1320
Phone
(608) 847-2400
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 423070 020 WI Primary

Addresses

Primary practice location

200 S Hickory St
Mauston, WI 53948-1320

Mailing address

422 Elmside Blvd
Madison, WI 53704-5706
Phone (608) 358-9853

Other identifiers 1

IdentifierTypeStateIssuer
34408700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040422000671 WI Practitioner - Psychiatry 4284528266 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Wisconsin School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Juneau CountyGroup PAC ID 5395759047, 5 clinicians
County of Green LakeGroup PAC ID 6507881265, 5 clinicians

Practice addresses (Care Compare)

200 Hickory St
Mauston, WI 53948
Phone (608) 847-2400

571 County Rd a
Green Lake, WI 54941-8630
Phone (920) 294-4070

Hospital & facility affiliations

  • Mile Bluff Medical Center Hospital, Mauston, WI, CCN 520109
  • Thedacare Medical Center - Berlin Inc Hospital, Berlin, WI, CCN 521355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
423070 020WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Green Lake CurrentSince Oct 1, 2018 Accepting new patients
County of Green Lake CurrentSince Oct 1, 2018 Accepting new patients
Juneau County CurrentSince Feb 14, 2011 Accepting new patients
Sauk County CurrentSince Dec 8, 2005 Accepting new patients
Juneau County CurrentSince Feb 14, 2011 Accepting new patients
Sauk County Current Accepting new patients
County of Sauk CurrentSince Dec 8, 2005 Accepting new patients
Peter C. Jackson, PSYD Consulting, SC PastSince May 21, 2016 Accepting new patients
Family Therapy Center of Madison, Inc. Psychiatry PastSince Oct 1, 2002 Accepting new patients

Locations

505 Broadway St
Baraboo, WI 53913
Phone (608) 355-4200

571 County Road A
Green Lake, WI 54941
Phone (920) 294-4070

200 S Hickory St
Mauston, WI 53948
Phone (608) 847-2400

1051 Clark St
Reedsburg, WI 53959
Phone (608) 524-4371

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1821159138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 ELMSIDE BLVD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045706",
            "telephone_number": "608-358-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S HICKORY ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481320",
            "telephone_number": "608-847-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRAIMONDO",
        "first_name": "LINDA",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "423070 020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34408700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauston, WI

Sources for this page

Verify at the official NPI Registry.