Water Tiger Psychotherapy, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

WATER TIGER PSYCHOTHERAPY, LLC

Practice address

2002 Atwood Ave Ste 217
Madison, WI 53704-5382

Phone

(920) 215-1254

NPI assigned

Mar 22, 2023

Organization subpart

No

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

Authorized official

Name

Sara Todd, LCSW

Title

Owner

Phone

(920) 215-1254

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694217600000",
    "number": "1922701812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILBURN RD STE 100",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901478",
            "telephone_number": "920-215-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 ATWOOD AVE STE 217",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045382",
            "telephone_number": "920-215-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATER TIGER PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-09-09",
        "certification_date": "2023-09-09",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-215-1254",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Washburn, LPC, ATR-P
• Jeffrey M Washelesky, PSY.D.
• Clinisha Washington
• Kerry Beth Washington
• Tamara Washington
• Julie M Waterdu, LMFT
• Robert William Waterman Jr., MD
• Alexis M Waters, PA-C
• Alissa C Waters
• Anna L Waters, MS, CCC-SLP

• Adult Mental Health Clinic/Center in Madison, WI
• Providers in Madison, WI by specialty
• Adult Mental Health Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2023; 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.