NPIMap

Organization Active NPI

Bend Health Psychiatric Services South Central PA

  • Adolescent and Children Mental Health Clinic/Center
  • Madison, WI
National Provider Identifier
1861157968
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
BEND HEALTH PSYCHIATRIC SERVICES SOUTH CENTRAL PA
Practice address
821 E Washington Ave FL 2
Madison, WI 53703-4647
Phone
(800) 516-0975
NPI assigned
Nov 3, 2021
Last updated
Apr 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BEND HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Monika Drummond Roots, MD
Title
President
Phone
(612) 250-9737

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU
Psychiatric/Mental Health Registered Nurse 163WP0808X NU
Child & Adolescent Psychiatry Physician 2084P0804X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary
Health & Wellness Coach 171400000X NU

Addresses

Primary practice location

821 E Washington Ave FL 2
Madison, WI 53703-4647

Mailing address

2640 White Oak Cir Ste C
Aurora, IL 60502-4809
Phone (800) 516-0975

National Provider Directory

National Provider Directory
Part of
Bend Health Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1861157968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 WHITE OAK CIR STE C",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605024809",
            "telephone_number": "800-516-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E WASHINGTON AVE FL 2",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034647",
            "telephone_number": "800-516-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND HEALTH PSYCHIATRIC SERVICES SOUTH CENTRAL PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEND HEALTH INC",
        "enumeration_date": "2021-11-03",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "ROOTS",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_middle_name": "DRUMMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-250-9737",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Apr 22, 2025; 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.