Organization Active NPI

Wiseheart Integrative Therapy, LLC

  • Clinical Psychologist
  • Madison, WI
National Provider Identifier
1942111265
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
WISEHEART INTEGRATIVE THERAPY, LLC
Practice address
530 Troy Dr
Madison, WI 53704-1575
Phone
(608) 335-6480
NPI assigned
Sep 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Dr. Donal Grant Maccoon, PHD
Title
Sole Proprieter
Phone
(608) 335-6480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

530 Troy Dr
Madison, WI 53704-1575

Mailing address

6580 Monona Dr # 1247
Monona, WI 53716-4032
Phone (608) 335-6480

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1942111265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6580 MONONA DR # 1247",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537164032",
            "telephone_number": "608-335-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 TROY DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537041575",
            "telephone_number": "608-335-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISEHEART INTEGRATIVE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "MACCOON",
        "authorized_official_first_name": "DONAL",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "608-335-6480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.