CHAMELEON GROUP (NPI# 1023283397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023283397 |
| Entity Type | Organization |
| Organization Name | CHAMELEON GROUP |
| Other Organization Name | WISCONSIN YOUNG AUTISM PROJECT |
| Practice Address |
6402 Odana Rd Madison WI 53719-1123 |
| Practice Telephone | 6082889040 |
| Practice Fax Number | 6082889042 |
| Mailing Telephone | 6082889040 |
| Mailing Fax Number | 6082889042 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |
| Authorized Official Name | KIM LAUREE SCHUTT-CHARDON (DIRECTOR OF BILLING) |
| Authorized Official Telephone | 6082889040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42223400 | 05 |
| Other Name | Type Code |
|---|---|
| Wisconsin Young Autism Project | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043406978 | Chameleon Group | Psychologist | 1210 Fourier Drive, Suite #100, Madison, WI 53717-1969 | 2007-09-25 |
| Street Address |
6402 ODANA RD |
| City | MADISON |
| State | WI |
| Zip Code | 53719-1123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124084884 | Jackie Lee Splitter | Psychologist | 6402 Odana Rd, Madison, WI 53719-1123 | 2006-04-21 |
| 1750768735 | Mary Donohoo | Counselor | 6402 Odana Rd, Madison, WI 53719-1123 | 2015-04-29 |
| 1043605074 | Elizabeth Lynn Well | Counselor | 6402 Odana Rd, Madison, WI 53719-1123 | 2015-04-06 |
| 1194128785 | Edelweiss Behavioral Health LLC | Clinic/Center | 6402 Odana Rd, Madison, WI 53719-1123 | 2014-09-27 |
| 1861764474 | Madison Upper Cervical Center, LLC | Chiropractor | 6402 Odana Rd, Madison, WI 53719-1123 | 2012-01-30 |
| 1649569567 | Caitlin Marie Katzman | Speech-Language Pathologist | 6402 Odana Rd, Madison, WI 53719-1123 | 2011-03-31 |
| 1841515657 | Valeri Joyce Briski | Chiropractor | 6402 Odana Rd, Madison, WI 53719-1123 | 2010-04-05 |
| 1326299355 | The Community Tree | Speech-Language Pathologist | 6402 Odana Rd, Madison, WI 53719-1123 | 2008-10-08 |
| 1346405834 | Richard L. Moon | Psychiatry & Neurology | 6402 Odana Rd, Madison, WI 53719-1123 | 2008-07-23 |
| 1346409596 | Brich Springs Center | Community/Behavioral Health | 6402 Odana Rd, Madison, WI 53719-1123 | 2008-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1497311294 | Brenda Sue Stepak | Psychologist | 4 Giralda Farms, Madison, NJ 07940 | 2019-05-16 |
| 1407327844 | Deborah Ann Pape | Psychologist | 350 S. Hamilton St., Unit 504, Madison, WI 53703 | 2018-12-11 |
| 1598232548 | Different Minds LLC | Psychologist | 313 Price Pl Ste 109, Madison, WI 53705-3262 | 2018-10-29 |
| 1760967145 | Emily Cahill Forscher | Psychologist | 2801 International Ln, Madison, WI 53704-3119 | 2018-10-01 |
| 1083167944 | Monica Ballard-booth | Psychologist | 331 State St, Suite 300, Madison, WV 25130-1367 | 2016-07-27 |
| 1750758033 | Patricia Humphrey | Psychologist | 4785 Hayes Rd Ste 100, Madison, WI 53704-7364 | 2015-08-21 |
| 1417348046 | Roger Rattan | Psychologist | 516 Troy Dr, Madison, WI 53704-1575 | 2015-02-18 |
| 1427453877 | Forward Psychology Group | Psychologist | 478 Commerce Dr Ste 204, Madison, WI 53719-5099 | 2014-10-28 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.