Active NPI
Psychological Addiction Services LLC
- Methadone Clinic
- Madison, WI
National Provider Identifier
1881131761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- PSYCHOLOGICAL ADDICTION SERVICES LLC
- Practice address
- 3113 E Washington Ave
Madison, WI 53704-4330 - Phone
- (608) 416-5777
- Fax
- (608) 416-5776
- NPI assigned
- Jan 30, 2017
- Last updated
- Oct 8, 2018
- 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
- Donald A Zukowski
- Title
- President
- Phone
- (608) 225-8954
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | Primary |
Addresses
Primary practice location
3113 E Washington Ave
Madison, WI 53704-4330
Mailing address
3113 E Washington Ave
Madison, WI 53704-4330
Phone (608) 416-5777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Opioid treatment program
- Medicare-enrolled since Jun 15, 2022
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2128477 | Psychological Addiction Services, LLC | Certificate of waiver | Aug 18, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 54
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.
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- Family Medicine Physician
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- NPI 1043558638
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- Endocrinology, Diabetes & Metabolism Physician
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- NPI 1144288499
-
- Anesthesiology Physician
- Milwaukee, WI
- NPI 1669425302
-
- Addiction Medicine (Family Medicine) Physician
- Portage, WI
- NPI 1912973942
-
- Marriage & Family Therapist
- Madison, WI
- NPI 1710566583
-
- Addiction (Substance Use Disorder) Counselor
- Madison, WI
- NPI 1619796612
-
- Registered Nurse
- Madison, WI
- NPI 1205688009
-
- Addiction (Substance Use Disorder) Counselor
- Madison, WI
- NPI 1891574141
-
- Addiction (Substance Use Disorder) Counselor
- Madison, WI
- NPI 1386112142
-
- Addiction (Substance Use Disorder) Counselor
- Madison, WI
- NPI 1881425346
-
- Addiction (Substance Use Disorder) Counselor
- Madison, WI
- NPI 1437047164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538956800000",
"number": "1881131761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3113 E WASHINGTON AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537044330",
"telephone_number": "608-416-5777",
"fax_number": "608-416-5776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3113 E WASHINGTON AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537044330",
"telephone_number": "608-416-5777",
"fax_number": "608-416-5776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHOLOGICAL ADDICTION SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-30",
"last_updated": "2018-10-08",
"status": "A",
"authorized_official_last_name": "ZUKOWSKI",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "608-225-8954"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
- Daniel Joseph Przybylski, PHARMD
- Julie Przywara
- Caroline Denise Pschorr, APSW
- Psychiatric Services SC
- Psychiatric Telehealth Services PC
- Psychology Associates LLP (Psychology Associates of Madison, LLP)
- Psychology Clinic Inc.
- Psychotherapy & Growth Center
- Anne Ptaszynski, M.D.
- Public Health Madison and Dane County
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.