Psychiatric Services SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

41061-021 Issued in WI

Legal business name

PSYCHIATRIC SERVICES SC

Practice address

2727 Marshall CT
Madison, WI 53705-2255

Phone

(608) 238-9354

Fax

(608) 238-7675

NPI assigned

Aug 14, 2007

Last updated

Jul 28, 2014By 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

Dr. Charles James Hodulik, MDNPI 1770517898

Title

President

Phone

(608) 238-9354

Specialties & licenses 14

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 32

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.

• Charles James Hodulik, MD

  • Psychiatry Physician
  • Madison, WI
  • NPI 1770517898
  Medicare reassignment Care Compare group NPD Authorized official
• Royle G Eenigenburg Jr., MD

  • Psychiatry Physician
  • Juneau, WI
  • NPI 1104858836
  Medicare reassignment Care Compare group NPD
• Kristen M Esbensen, CICSW LCSW

  • Clinical Social Worker
  • Madison, WI
  • NPI 1235189176
  Medicare reassignment Care Compare group NPD
• Michael A Gerst, LCSW

  • Clinical Social Worker
  • Madison, WI
  • NPI 1447696976
  Medicare reassignment Care Compare group NPD
• Deirdre Dea Green, LCSW

  • Clinical Social Worker
  • Madison, WI
  • NPI 1568090363
  Medicare reassignment Care Compare group NPD
• Rachel Karen Heilizer, PH.D.

  • Clinical Psychologist
  • Madison, WI
  • NPI 1679620694
  Medicare reassignment Care Compare group NPD
• Nancy K Henderson, LCSW

  • Clinical Social Worker
  • Madison, WI
  • NPI 1598771784
  Medicare reassignment Care Compare group NPD
• Kenneth James Herrmann, MD

  • Psychiatry Physician
  • Madison, WI
  • NPI 1760433536
  Medicare reassignment Care Compare group NPD
• Katie C Juris

  • Counselor
  • Madison, WI
  • NPI 1821728700
  Medicare reassignment Care Compare group NPD
• Daniel Neal Levin, PHD

  • Clinical Psychologist
  • Madison, WI
  • NPI 1235173105
  Medicare reassignment Care Compare group NPD
• Katherine McLeod, RN, FPMHNP, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Janesville, WI
  • NPI 1770874422
  Medicare reassignment Care Compare group NPD
• Alexandra McMurray, MD

  • Child & Adolescent Psychiatry Physician
  • Madison, WI
  • NPI 1942246749
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1902098957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 MARSHALL CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052255",
            "telephone_number": "608-238-9354",
            "fax_number": "608-238-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 MARSHALL CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052255",
            "telephone_number": "608-238-9354",
            "fax_number": "608-238-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC SERVICES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "HODULIK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-238-9354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1898-057",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1064-057",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2284-057",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2155-057",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1993-057",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WI",
            "license": "920-057",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "522-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1085-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3257-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7213-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "504-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "391-123",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "22400-020",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "41061-021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42141600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michaela Marie Pryor, PA-C
• Robert J Przybelski, MD MS
• Daniel Joseph Przybylski, PHARMD
• Julie Przywara
• Caroline Denise Pschorr, APSW
• Psychiatric Telehealth Services PC
• Psychological Addiction Services LLC
• Psychology Associates LLP (Psychology Associates of Madison, LLP)
• Psychology Clinic Inc.
• Psychotherapy & Growth Center

• Psychiatry Physician in Madison, WI
• Providers in Madison, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.