DR. ANN MARIE HEASLETT (NPI# 1467489484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467489484 |
| Entity Type | Individual |
| Full Name | DR. ANN MARIE HEASLETT |
| Credential | M.D. |
| Practice Address |
301 Troy Dr Madison WI 53704-1521 |
| Mailing Address |
315 Grand Ave Madison WI 53705-3731 |
| Practice Telephone | 6083011000 |
| Mailing Telephone | 6082383259 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2013-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
36456-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 3229800 | 05 |
| 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 | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588007314 | Avery Grauer | Psychiatry & Neurology | 175 Copse Road, Madison, CT 06443 | 2013-04-11 |
| 1033300199 | Monika Drummond Roots | Psychiatry & Neurology | 3140 Oxford Rd, Madison, WI 53705-2224 | 2007-08-05 |
| 1295894269 | Roy Dewayne Hankins | Psychiatry & Neurology | 2558 271 Ave, Madison, MN 56256 | 2006-12-06 |
| 1124096086 | Brian A Vasey | Psychiatry & Neurology | 780 Regent St, Madison, WI 53715 | 2006-03-08 |
| 1841281466 | Daniel Donald Swartz | Psychiatry & Neurology | 1643 Slaughter Rd, Madison, AL 35758-8692 | 2005-11-02 |
| 1649709171 | Christina Lynn Roberts | Psychiatry & Neurology | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2017-06-08 |
| 1851650378 | Emily Howell-little | Psychiatry & Neurology | Uw Hospitals & Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2012-05-04 |
| 1831394378 | Ritu N Narang Gandhi | Psychiatry & Neurology | 7617 Mineral Point Rd, High Point Plaza Suite 300, Madison, WI 53717-1623 | 2007-06-15 |
| 1063587764 | William James Swift | Psychiatry & Neurology | 702 N Blackhawk Ave, Suite 100, Madison, WI 53705-3357 | 2006-11-21 |
| 1942246749 | Alexandra Mcmurray | Psychiatry & Neurology | 2727 Marshall Ct, Psychiatric Services, Sc, Madison, WI 53705-2255 | 2006-06-21 |
| 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.