Civitas Therapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CIVITAS THERAPY LLC

Practice address

660 W Washington Ave Ste 310
Madison, WI 53703-4703

Phone

(949) 620-1831

NPI assigned

Oct 2, 2023

Last updated

Oct 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Megan Fitzpatrick, MSNPI 1750048484

Title

Owner

Phone

(608) 620-1831

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Megan Fitzpatrick, LPC

  • Professional Counselor
  • Madison, WI
  • NPI 1750048484
  NPD Authorized official

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1821878414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 W WASHINGTON AVE STE 310",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034703",
            "telephone_number": "949-620-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 W WASHINGTON AVE STE 310",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034703",
            "telephone_number": "949-620-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIVITAS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-620-1831",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Cisler, PH.D.
• Jeanne Cisse, NP
• City of Madison (Department of Public Health for Madison and Dane County)
• City of Madison
• City View, Inc (City View Nursing Home)
• Victoria Ann Claas, LPC
• William Gerard Clancy Jr., M.D.
• Kristian Clark-Skeens, APNP
• Allan W Clark
• Alysha Clark

• Mental Health Clinic/Center (Including Community Mental Health Center) in Madison, WI
• Providers in Madison, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.