RANDALL KEITH CULLEN (NPI# 1255368346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255368346 |
| Entity Type | Individual |
| Full Name | RANDALL KEITH CULLEN |
| Credential | M.D. |
| Practice Address |
6333 Odana Rd Ste 20 Madison WI 53719-1170 |
| Mailing Address |
1414 W Skyline Dr Madison WI 53705-1135 |
| Practice Telephone | 6082124822 |
| Mailing Telephone | 6082124822 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2012-01-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
21235 | WI | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
21235 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICAL LICENSE | 21235 | 01 |
| WI | 31687500 | 05 |
| Street Address |
6333 ODANA RD STE 20 |
| City | MADISON |
| State | WI |
| Zip Code | 53719-1170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899285 | Samantha Marie Prust | Social Worker | 6333 Odana Rd Ste 20, Madison, WI 53719-1130 | 2020-07-30 |
| 1467061259 | Lauren Kelly | Social Worker | 6333 Odana Rd Ste 20, Madison, WI 53719-1130 | 2020-07-28 |
| 1528686813 | Lindsey Marie Kahler | Social Worker | 6333 Odana Rd Ste 20, Madison, WI 53719-1130 | 2020-07-13 |
| 1902446065 | Bridgette Levy | Counselor | 6333 Odana Rd Ste 20, Madison, WI 53719-1130 | 2020-01-07 |
| 1871149385 | Paige Brunett | Social Worker | 6333 Odana Rd Ste 20, Madison, WI 53719-1130 | 2019-08-12 |
| 1316504046 | Molly Willihnganz | Marriage & Family Therapist | 6333 Odana Rd Ste 20, Madison, WI 53719-1130 | 2019-05-29 |
| 1851958581 | Laurel Anne Leggiere | Social Worker | 6333 Odana Rd Ste 20, Madison, WI 53719-1130 | 2019-05-29 |
| 1124584032 | Alyssa Bentsen | Social Worker | 6333 Odana Rd Ste 20, Madison, WI 53719-1130 | 2019-02-15 |
| 1295209336 | Dayne Legreid | Counselor | 6333 Odana Rd Ste 20, Madison, WI 53719-1130 | 2019-01-11 |
| 1699240499 | Stacey Weber-beck | Marriage & Family Therapist | 6333 Odana Rd Ste 20, Madison, WI 53719-1130 | 2018-10-08 |
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| 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 | 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.