Organization Active NPI

Mental Health for Women Medication Management, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Monona, WI
National Provider Identifier
1942568498
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1042-33 Issued in WI
Legal business name
MENTAL HEALTH FOR WOMEN MEDICATION MANAGEMENT, LLC
Practice address
1250 Femrite Dr Ste 205B
Monona, WI 53716-3787
Phone
(608) 697-8530
Fax
(877) 765-0576
NPI assigned
May 2, 2012
Last updated
Jul 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Authorized official

Name
Elizabeth Lindner, APNPNPI 1376565705
Title
Owner
Phone
(608) 697-8530

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1042-33 WI Primary

Addresses

Primary practice location

1250 Femrite Dr Ste 205B
Monona, WI 53716-3787

Mailing address

N6326 Raven Rd
Pardeeville, WI 53954-9579
Phone (608) 697-8530

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190705000821 WI Part B Supplier - Clinic/Group Practice 5698000131 Receives reassigned benefits from 1 practitioner
Practice locations: Monona, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1942568498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N6326 RAVEN RD",
            "city": "PARDEEVILLE",
            "state": "WI",
            "postal_code": "539549579",
            "telephone_number": "608-697-8530",
            "fax_number": "877-765-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 FEMRITE DR STE 205B",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163787",
            "telephone_number": "608-697-8530",
            "fax_number": "877-765-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH FOR WOMEN MEDICATION MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "LINDNER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-697-8530",
        "authorized_official_credential": "APNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "1042-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.