Active NPI
Catherine Treece, PH.D.
- Clinical Psychologist
- Madison, WI
National Provider Identifier
1902995970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1197-057
- Practice address
- 702 N Blackhawk Ave
Suite 104
Madison, WI 53705-3357 - Phone
- (608) 231-1960
- Fax
- (608) 231-2430
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1197-057 | WI | Primary |
Addresses
Primary practice location
702 N Blackhawk Ave
Suite 104
Madison, WI 53705-3357
Mailing address
702 N Blackhawk Ave
Suite 104
Madison, WI 53705-3357
Phone (608) 231-1960
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39082300 | Medicaid | WI | |
| WO14166 | Other | CHAMPUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071116000055 | WI | Practitioner - Clinical Psychologist | 4284722745 | Practice locations: Madison, WI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
702 N Blackhawk Ave
Madison, WI 53705-3357
Phone (608) 231-1960
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1197-057 | WI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1902995970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 N BLACKHAWK AVE",
"address_2": "SUITE 104",
"city": "MADISON",
"state": "WI",
"postal_code": "537053357",
"telephone_number": "608-231-1960",
"fax_number": "608-231-2430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 N BLACKHAWK AVE",
"address_2": "SUITE 104",
"city": "MADISON",
"state": "WI",
"postal_code": "537053357",
"telephone_number": "608-231-1960",
"fax_number": "608-231-2430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREECE",
"first_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "1197-057",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39082300",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "WO14166",
"state": null
}
],
"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 Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.