UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL (NPI# 1184746828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184746828 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL |
| Other Organization Name | WAISMAN CENTER TIES CLINIC |
| Practice Address |
122 E Olin Ave Ste 255 Madison WI 53713 |
| Mailing Address |
122 E Olin Ave Ste 255 Madison WI 53713-1468 |
| Practice Telephone | 6082659438 |
| Practice Fax Number | 6082634681 |
| Mailing Telephone | 6082659438 |
| Mailing Fax Number | 6082634681 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2018-06-18 |
| Authorized Official Name | KENNETH MOUNT (ASSOCIATE DEAN) |
| Authorized Official Telephone | 6082634938 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21252100 | 05 |
| Other Name | Type Code |
|---|---|
| Waisman Center TIES Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295944635 | University of Wisconsin System Non Payroll | Case Management | 1921 E Hartford Ave, Milwaukee, WI 53211-3060 | 2007-05-22 |
| 1346266319 | University of Wisconsin System Non Payroll | Clinic/Center | 750 Highland Ave Fl 4, Health Sciences Learning Center, Madison, WI 53705-2221 | 2006-07-14 |
| 1669458386 | University of Wisconsin System Non Payroll | Clinical Medical Laboratory | 465 Henry Mall, Madison, WI 53706-1378 | 2005-12-15 |
| 1184866949 | University of Wisconsin System Non Payroll | Durable Medical Equipment & Medical Supplies | 600 Highland Ave, Madison, WI 53792-0001 | 2009-03-25 |
| 1558531251 | University of Wisconsin System Non Payroll | Clinic/Center | 103 1st Ave W, Menomonie, WI 54751-1876 | 2008-03-10 |
| Street Address |
122 E OLIN AVE STE 255 |
| City | MADISON |
| State | WI |
| Zip Code | 53713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1770850075 | Chestnut Health Systems, Inc. | Clinic/Center | 648 State St Bldg B, Madison, IL 62060-1420 | 2011-11-30 |
| 1902184054 | Chestnut Health Systems, Inc. | Clinic/Center | 648 State St Bldg A, Madison, IL 62060-1420 | 2011-07-22 |
| 1790301505 | Lisa Philippart Lpc LLC | Clinic/Center | 540 Hughes Rd Ste 10a, Madison, AL 35758-8936 | 2020-06-18 |
| 1366074445 | Bronwyn Shiffer Psychotherapy, LLC | Clinic/Center | 313 Price Pl Ste 113a, Madison, WI 53705-3262 | 2020-02-06 |
| 1851877252 | Amelia Adams Counseling Services, LLC | Clinic/Center | 1643 Slaughter Rd, Madison, AL 35758-8692 | 2018-07-18 |
| 1285134262 | Blue Feather Psychotherapy, LLC | Clinic/Center | 2713 Atwood Ave Apt 201, Madison, WI 53704-5744 | 2018-02-16 |
| 1396048930 | Robert M. Factor, M.d., LLC | Clinic/Center | 16 N Carroll St Ste 450, Madison, WI 53703-2784 | 2010-12-20 |
| 1154500692 | Donald S. Bialos, M.d. | Clinic/Center | 4 Samson Rock Dr, Madison, CT 06443-3005 | 2007-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346702826 | Kris Huenink Counseling Services LLC | Clinic/Center | 501 N 8th St Ste 110, Sheboygan, WI 53081-4461 | 2019-04-03 |
| 1720550981 | Purple Lotus Counseling LLC | Clinic/Center | 516 E Wisconsin Ave Ste C, Appleton, WI 54911-4864 | 2018-12-27 |
| 1831677079 | Creative Calm Counseling LLC | Clinic/Center | 2380 State Road 44 Ste G, Oshkosh, WI 54904-6440 | 2018-07-31 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1730530239 | Home Away From Home Living Services LLC | Clinic/Center | 8127 W Herbert Ave, Milwaukee, WI 53218-3632 | 2016-06-26 |
| 1891149928 | Tcg Holdings 14, LLC | Clinic/Center | 127 N Franklin St Ste 206, Port Washington, WI 53074-1948 | 2016-04-14 |
| 1427410992 | Shelley Boehm Mattia Md,adult Psychiatry, LLC | Clinic/Center | 428 Doty St, Green Bay, WI 54301-4509 | 2016-03-24 |
| 1982002242 | Family & Childrens Center | Clinic/Center | 920 W Wisconsin St, Sparta, WI 54656-4217 | 2014-12-18 |
| 1154675924 | Northshore Clinic LLC | Clinic/Center | 805 N 6th St, Sheboygan, WI 53081-4113 | 2012-11-01 |
| 1003179953 | Thundermist, Inc. | Clinic/Center | 2108a Silvernail Rd, Suite 116, Pewaukee, WI 53072-5526 | 2012-06-15 |
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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.