ROBERT M MCCREADIE (NPI# 1497986079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497986079 |
| Entity Type | Individual |
| Full Name | ROBERT M MCCREADIE |
| Credential | CSAC, ICS |
| Practice Address |
5005 University Ave Madison WI 53705-5439 |
| Mailing Address |
403 N Grand Ave Waukesha WI 53186-4984 |
| Practice Telephone | 6082332100 |
| Practice Fax Number | 6082332101 |
| Mailing Telephone | 2624095462 |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2019-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15500-132 | WI | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15474131 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 1497986079 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2422 N Grandview Blvd, Waukesha, WI 531886105 | 2625496600 | 2625496698 |
| 403 N Grand Ave, Waukesha, WI 531864984 | 2624095462 | 2624584102 |
| Street Address |
5005 UNIVERSITY AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53705-5439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497961551 | Connections Counseling, LLC | Counselor | 5005 University Ave, Suite 100, Madison, WI 53705-5400 | 2007-05-15 |
| 1295225209 | Ethan Thomas Scofield | Counselor | 5005 University Ave, Madison, WI 53705-5439 | 2018-05-15 |
| 1407399959 | Hadeel Sufian Hasan | Counselor | 5005 University Ave, Ste 100, Madison, WI 53705-5439 | 2016-11-30 |
| 1417325978 | Peter John Meagher | Social Worker | 5005 University Ave, Suite 100, Madison, WI 53705-5439 | 2015-09-14 |
| 1073992319 | Jennifer N Pitzo | Counselor | 5005 University Ave, Suite 100, Madison, WI 53705-5439 | 2015-05-20 |
| 1407244460 | Julia Mueller | Counselor | 5005 University Ave, Suite 100, Madison, WI 53705-5439 | 2014-12-29 |
| 1043638034 | Megan M Cullen | Counselor | 5005 University Ave, Suite 100, Madison, WI 53705-5439 | 2014-04-07 |
| 1245677616 | Ann Victoria Mulkerin | Psychologist | 5005 University Ave, Suite 100, Madison, WI 53705-5439 | 2013-05-25 |
| 1750653580 | Krystle Elizabeth Gutting | Counselor | 5005 University Ave, Suite 100, Madison, WI 53705-5439 | 2012-02-09 |
| 1326339896 | Mary Kay Aide | Counselor | 5005 University Ave, Madison, WI 53705-5439 | 2011-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629563986 | Magdalena Maria Siodlak | Pharmacist | 2500 Overlook Terrace (119), Madison, WI 53705 | 2018-06-28 |
| 1104343243 | Aisling Margaret Tallman | Physician Assistant | 725 University Row, Apt 124, Madison, WI 53705 | 2017-08-29 |
| 1346785938 | Rachel Maria Sanabria | Social Worker | 4513 Vernon Blvd Ste 100, Madison, WI 53705 | 2017-01-05 |
| 1124482856 | Samantha Jo Juve | Social Worker | 313 Price Pl Ste 212, Madison, WI 53705 | 2016-04-08 |
| 1912373002 | Brittany Dennis | Counselor | 5005 University Avenue, Suite 100, Madison, WI 53705 | 2015-08-12 |
| 1225456981 | John Martin Floberg | Radiology | 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 | 2014-03-31 |
| 1457693319 | Matthew Ryan May-curry | Psychiatry & Neurology | 2500 Overlook Ter # 116a, Madison, WI 53705 | 2013-03-19 |
| 1396083168 | Madison Psychiatric & Psychological Services | Psychiatry & Neurology | 702 N. Blackhawk Ave, #100, Madison, WI 53705 | 2013-01-29 |
| 1174872808 | Natasha Bulat | Massage Therapist | 5317 Old Middleton Rd, Room #102, 'hot Stone Therapy & Massage', Madison, WI 53705 | 2012-09-10 |
| 1033401609 | Ann B Braus | Family Medicine | 6209 Mineral Point Rd, Madison, WI 53705 | 2011-05-13 |
| Find all providers in zip 53705 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359337 | Sarah Luetzow Marten | Counselor | 6441 Enterprise Ln Ste 101, Madison, WI 53719-1180 | 2020-09-08 |
| 1366051088 | Katreasa L Cwright | Counselor | 224 South 5th St, Madison, AR 72359 | 2020-07-28 |
| 1811522253 | Sandra Bruno | Counselor | 102 Wesly Clark Blvd, Madison, AL 35756-4028 | 2020-03-05 |
| 1750915047 | Marina Macgillivray | Counselor | 2009 E Dayton St, Madison, WI 53704-4720 | 2020-02-26 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1851954713 | Michael Allen Hetts | Counselor | Madison East Ctc, 5109 World Dairy Dr, Madison, WI 53718-3807 | 2019-04-17 |
| 1205333671 | Michele Lee Nusker | Counselor | 1733 Stirling Rd, Madison, OH 44057-2030 | 2018-04-11 |
| 1609378546 | Impact Behavioral Counseling LLC | Counselor | 20 Hughes Rd Ste 101-b, Madison, AL 35758-2237 | 2018-03-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1669837498 | Gregory Cox | Counselor | 313 Price Pl Ste 101, Madison, WI 53705-3262 | 2015-12-21 |
| 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.