SYMETRIA HEALTH OF WISCONSIN, L.L.C. (NPI# 1184182602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184182602 |
| Entity Type | Organization |
| Organization Name | SYMETRIA HEALTH OF WISCONSIN, L.L.C. |
| Other Organization Name | SYMETRIA RECOVERY OF MADISON |
| Practice Address |
2997 Yarmouth Greenway Dr Ste 100 Fitchburg WI 53711-5809 |
| Mailing Address |
40 Shuman Blvd Ste 262 Naperville IL 60563-8480 |
| Practice Telephone | 8887826966 |
| Practice Fax Number | 6308701284 |
| Mailing Telephone | 8887826966 |
| Mailing Fax Number | 6308701284 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-18 |
| Authorized Official Name | CHRIS HASSAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8887826966 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOFT LANDING INTERVENTIONS, L.L.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Symetria Recovery of Madison | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952860181 | Symetria Health of Wisconsin, L.L.C. | Clinic/Center | 6080 S 108th St Ste B, Hales Corners, WI 53130-2557 | 2019-03-18 |
| Street Address |
2997 YARMOUTH GREENWAY DR STE 100 |
| City | FITCHBURG |
| State | WI |
| Zip Code | 53711-5809 |
| 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 | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709159 | Thrive Consulting and Wellness, LLC | Clinic/Center | 715 Hill St Ste 250a, Madison, WI 53705-3572 | 2020-01-11 |
| 1699314864 | Joyce's House of Milwaukee | Clinic/Center | 2811 W North Ave, Milwaukee, WI 53208-1551 | 2020-01-05 |
| 1073151874 | Mahala's Hope, Inc. | Clinic/Center | N4590 Us Highway 45, Eden, WI 53019-1212 | 2019-12-12 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1952860181 | Symetria Health of Wisconsin, L.L.C. | Clinic/Center | 6080 S 108th St Ste B, Hales Corners, WI 53130-2557 | 2019-03-18 |
| 1912464934 | The Ladders Recovery Community | Clinic/Center | 1331 Capitol Dr, Oconomowoc, WI 53066-5705 | 2019-02-26 |
| 1093215410 | Ray Services LLC | Clinic/Center | 147 W Ryan Rd, Oak Creek, WI 53154-4401 | 2018-02-13 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1245628817 | Forever Free Substance Abuse and Mental Heath Treament Center | Clinic/Center | 724 S Layton Blvd, Milwaukee, WI 53215-1224 | 2015-01-05 |
| 1669889283 | Roots Counseling Services, LLC | Clinic/Center | 1681 N Prospect Ave, Milwaukee, WI 53202-6720 | 2014-07-15 |
| Find all providers with the same taxonomy | ||||
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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.