Cornerstone Mental Health Associates

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1780-123 Issued in WI

Legal business name

CORNERSTONE MENTAL HEALTH ASSOCIATES

Practice address

6417 Odana Rd
#C
Madison, WI 53719

Phone

(608) 271-9986

Fax

(608) 271-9988

NPI assigned

Oct 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. David L. Eastin, CL/CO PSYCHOLOGIST (

Title

Co-Owner/Partner

Phone

(608) 271-9986

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1932434420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 ODANA RD",
            "address_2": "#C",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53719",
            "telephone_number": "608-271-9986",
            "fax_number": "608-271-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 ODANA RD",
            "address_2": "#C",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53719",
            "telephone_number": "608-271-9986",
            "fax_number": "608-271-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE MENTAL HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "EASTIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CO-OWNER/PARTNER",
        "authorized_official_telephone_number": "608-271-9986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CL/CO PSYCHOLOGIST ("
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1477",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1780-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39210200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisa Cornelius
• Kimberly E Cornelius, APNP
• Catherine Mary Cornell, MSW
• Elliot P Cornell, LCSW
• Georgia Ann Corner, DPT
• Liane Cornils, AS
• Richard D Cornwell, MD
• Susan Tuomi Cornwell, CNS
• Francisca Ana Corona
• Rogelio Adrian Coronado, PT

• Clinical Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.