JEAN S. BAE (NPI# 1093870073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093870073 |
| Entity Type | Individual |
| Full Name | JEAN S. BAE |
| Credential | M.D. |
| Practice Address |
700 Ray O Vac Dr Suite 220 Madison WI 53711-2479 |
| Practice Telephone | 6082769191 |
| Practice Fax Number | 6082769144 |
| Mailing Telephone | 6082769191 |
| Mailing Fax Number | 6082769144 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
40078-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34136400 | 05 |
| Street Address |
700 RAY O VAC DR SUITE 220 |
| City | MADISON |
| State | WI |
| Zip Code | 53711-2479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316985369 | Communication Development Center, Inc. | Speech-Language Pathologist | 700 Ray O Vac Dr, Suite 200, Madison, WI 53711-2479 | 2006-06-03 |
| 1881058675 | Peter C. Jackson, Psyd Consulting, Sc | Psychologist | 700 Ray O Vac Dr, Suite 220, Madison, WI 53711-2479 | 2016-04-08 |
| 1932585940 | Kind Therapy, LLC | Community/Behavioral Health | 700 Ray O Vac Dr, Suite 103, Madison, WI 53711-2479 | 2015-08-03 |
| 1568803336 | Laura K Johnson | Counselor | 700 Ray O Vac Dr, 103, Madison, WI 53711-2479 | 2013-07-09 |
| 1013073022 | Thorsten W. Horton | Social Worker | 700 Ray O Vac Dr, Suite 220, Madison, WI 53711-2479 | 2006-12-28 |
| 1023173234 | Vincent H. Fish | Psychologist | 700 Ray O Vac Dr, Suite 220, Madison, WI 53711-2479 | 2006-12-27 |
| 1710042858 | Erica R. Serlin | Psychologist | 700 Ray O Vac Dr, Suite 220, Madison, WI 53711-2479 | 2006-12-27 |
| 1801951843 | Abigail M. Young | Psychiatry & Neurology | 700 Ray O Vac Dr, Suite 220, Madison, WI 53711-2479 | 2006-12-27 |
| 1942365994 | Peter C. Jackson | Psychologist | 700 Ray O Vac Dr, Suite 220, Madison, WI 53711-2479 | 2006-12-27 |
| 1245395425 | Anne S. Beal | Social Worker | 700 Ray O Vac Dr, Suite 220, Madison, WI 53711-2479 | 2006-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1972161628 | Leah Bastian | Marriage & Family Therapist | 2935 S Fish Hatchery Rd # 244, Madison, WI 53711 | 2019-05-29 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1760975395 | Alysha Rolli | Dentist | 2945 Triverton Pike Dr, Fitchburg, WI 53711 | 2018-06-08 |
| 1265922561 | Farence Rogers | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr. Madison, Madison, WI 53711 | 2018-05-14 |
| 1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
| 1598132383 | Shari Eberhardt | Nurse Practitioner | Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 | 2015-08-27 |
| 1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
| Find all providers in zip 53711 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407410921 | Dr. Katrina Furey, Md, LLC | Psychiatry & Neurology | 147 Durham Rd Ste 12ane, Madison, CT 06443-2675 | 2019-04-30 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1790212603 | Imad Khan | Psychiatry & Neurology | Uw Hospitals & Clinics 600 Highland Avenue, Madison, WI 53792 | 2017-05-23 |
| 1548632656 | Linda Marie Brzustowicz | Psychiatry & Neurology | 40 Green Ave, Madison, NJ 07940-2532 | 2015-10-28 |
| 1740676519 | Gene Yang | Psychiatry & Neurology | 406 Science Dr Ste 110, Madison, WI 53711-1097 | 2015-04-08 |
| 1265844682 | Travis Gordon Kruger | Psychiatry & Neurology | 6001 Research Park Blvd., Wisconsin Psychiatric Institute & Clinics (wispic), Madison, WI 53719 | 2014-05-21 |
| 1477973378 | Katrina Louise Furey | Psychiatry & Neurology | 147 Durham Rd Ste 12a-ne, Madison, CT 06443 | 2014-04-18 |
| 1841619889 | Ying Wang | Psychiatry & Neurology | 600 Highland Ave,h4/831, Uw Hospital and Clinics, Madison, WI 53792 | 2014-04-07 |
| 1477896595 | William Thomas Mckinney | Psychiatry & Neurology | 3660 Lake Mendota Dr, Madison, WI 53705-1475 | 2013-03-27 |
| 1457693319 | Matthew Ryan May-curry | Psychiatry & Neurology | 2500 Overlook Ter # 116a, Madison, WI 53705 | 2013-03-19 |
| 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.