MENDOTA MENTAL HEALTH INSTITUTE (NPI# 1437106036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437106036 |
| Entity Type | Organization |
| Organization Name | MENDOTA MENTAL HEALTH INSTITUTE |
| Practice Address |
301 Troy Dr Madison WI 53704-1521 |
| Practice Telephone | 6083011504 |
| Practice Fax Number | 6083011538 |
| Mailing Telephone | 6083011504 |
| Mailing Fax Number | 6083011538 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | DR. GREGORY J VAN RYBROECK (DIRECTOR) |
| Authorized Official Telephone | 6083011042 |
| Authorized Official Credential | PHD, JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 283Q00000X | Psychiatric Hospital | 24251-020 | WI | Hospitals |
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| Street Address |
301 TROY DR |
| City | MADISON |
| State | WI |
| Zip Code | 53704-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629044797 | Michael T Witkovsky | Psychiatry & Neurology | 301 Troy Dr, Madison, WI 53704-1521 | 2006-02-27 |
| 1790311017 | Joshua Seth Camins | Psychologist | 301 Troy Dr, Madison, WI 53704-1521 | 2020-03-18 |
| 1316583909 | Thomas A Deboer | Psychologist | 301 Troy Dr, Madison, WI 53704-1521 | 2019-11-19 |
| 1811531155 | Kristin A Johnson | Psychologist | 301 Troy Dr, Madison, WI 53704-1521 | 2019-10-30 |
| 1861912958 | Emily Peissig | Counselor | 301 Troy Dr, Madison, WI 53704-1521 | 2017-06-21 |
| 1275083958 | Caroline Carr | Psychologist | 301 Troy Dr, Madison, WI 53704-1521 | 2016-10-06 |
| 1427429653 | Samantha Marsh | Pharmacist | 301 Troy Dr, Madison, WI 53704-1521 | 2015-10-14 |
| 1770840118 | Adrea Hahn Mcglynn | Psychologist | 301 Troy Dr, Madison, WI 53704-1521 | 2012-04-23 |
| 1861636672 | St. Charles Youth & Family Services | Clinic/Center | 301 Troy Dr, Cottage A, Madison, WI 53704-1521 | 2009-04-23 |
| 1063653954 | Michael J Vitacco | Psychologist | 301 Troy Dr, Madison, WI 53704-1521 | 2009-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205292869 | Veteran Health Administration | Psychiatric Hospital | 2500 Overlook Ter, Madison, WI 53705-2254 | 2016-01-12 |
| 1659497477 | State of Indiana, Auditor of State | Psychiatric Hospital | 711 Green Rd, Madison, IN 47250-2143 | 2007-03-22 |
| 1700876224 | State of Indiana, Auditor of State | Psychiatric Hospital | 711 Green Rd, Madison, IN 47250-2143 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413816 | Sbh-madison LLC | Psychiatric Hospital | 3169 Deming Way, Middleton, WI 53562-1435 | 2020-10-05 |
| 1164736021 | Andrew Jay Kessler | Psychiatric Hospital | 1west Lincoln Avenue, Waupun, WI 53595 | 2010-08-03 |
| 1801908975 | County of Brown | Psychiatric Hospital | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-08-31 |
| 1083728612 | County of Milwaukee | Psychiatric Hospital | 9455 W Watertown Plank Rd, Milwaukee, WI 53226-3559 | 2006-08-19 |
| 1013212810 | Milwaukee County Behavioral Health | Psychiatric Hospital | 9201 W Watertown Plank Rd, Milwaukee, WI 53226-3558 | 2011-01-26 |
| 1104139021 | Wfhc - All Saints | Psychiatric Hospital | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2010-07-20 |
| 1053588293 | Joanne Zimmerman | Psychiatric Hospital | 9455 W Watertown Plank Rd, Milwaukee, WI 53226-3559 | 2008-05-15 |
| 1407988892 | County of Waukesha Department of Finance | Psychiatric Hospital | 1501 Airport Rd, Waukesha, WI 53188-3632 | 2007-03-12 |
| 1164516506 | State of Wisconsin | Psychiatric Hospital | 1300 South Drive, Winnebago, WI 54985-0009 | 2006-10-02 |
| 1114035458 | Human Services Board Serving North Central Health Care | Psychiatric Hospital | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2006-08-28 |
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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.