NPIMap

Organization Active NPI

Psychology Associates LLP

Doing business as Psychology Associates of Madison, LLP

  • Professional Counselor
  • Madison, WI
National Provider Identifier
1902952203
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PSYCHOLOGY ASSOCIATES LLP
Doing business as
Psychology Associates of Madison, LLP
Practice address
2010 Eastwood Dr Ste 202
Madison, WI 53704-5387
Phone
(608) 255-9119
Fax
(888) 251-2784
NPI assigned
Jan 27, 2007
Last updated
Dec 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Susan Hofer, LPCNPI 1578771564
Title
Owner/LPC
Phone
(608) 255-9119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

2010 Eastwood Dr Ste 202
Madison, WI 53704-5387

Mailing address

2010 Eastwood Dr Ste 202
Madison, WI 53704-5387
Phone (608) 255-9119

Other names 1

  • Psychology Associates of Madison, LLP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051220000921 WI Part B Supplier - Clinic/Group Practice 2062434921 Receives reassigned benefits from 6 practitioners
Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Locations

122 E Olin Ave
Ste 220
Madison, WI 53713
Phone (608) 255-9119

2010 Eastwood Dr
Ste 202
Madison, WI 53704
Phone (608) 255-9119

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1902952203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 EASTWOOD DR STE 202",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045387",
            "telephone_number": "608-255-9119",
            "fax_number": "888-251-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 EASTWOOD DR STE 202",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045387",
            "telephone_number": "608-255-9119",
            "fax_number": "888-251-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-27",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "HOFER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "608-255-9119",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychology Associates of Madison, LLP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Psychology Associates of Madison, LLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 18, 2023; 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.