Nick Yackovich, PHD, S.C.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NICK YACKOVICH, PHD, S.C.

Practice address

2800 Royal Ave Ste 202
Monona, WI 53713-1518

Phone

(608) 471-4222

Fax

(608) 471-4222

NPI assigned

Sep 13, 2022

Organization subpart

No

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

Authorized official

Name

Nick S Yackovich, PHD

Title

President

Phone

(608) 215-0600

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheena Lee Wiedenfeld, MASTERS COUNSELING

  • Professional Counselor
  • Madison, WI
  • NPI 1457047383
  NPD

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1982326369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 ROYAL AVE STE 202",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537131518",
            "telephone_number": "608-215-0600",
            "fax_number": "608-471-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 ROYAL AVE STE 202",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537131518",
            "telephone_number": "608-471-4222",
            "fax_number": "608-471-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK YACKOVICH, PHD, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "YACKOVICH",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-215-0600",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Murray, MSW, LCSW, SUD
• Sunita Nandihalli, MS
• Rachelle M. Neckar
• Nelson Chiropractic, LLC
• New Growth Mental Health Counseling, LLC
• Maeve Nicoll
• Stanley Kenneth Nielsen, MSW, LCSW
• Nmotion Medical Transportation Inc
• Sheila O'Brien
• Megan O'Shea, FNP-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Monona, WI
• Providers in Monona, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.