MCPST MANAGEMENT CORPORATION


Address: 6300 University Ave, Suite 125, Middleton, WI 53562-3463
Phone: 6082378000

MCPST MANAGEMENT CORPORATION (NPI# 1619918877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619918877
Entity Type Organization
Organization Name MCPST MANAGEMENT CORPORATION
Other Organization Name MIDWEST CTR FOR PSYCHOTHERAPY & SEX THERAPY
Practice Address 6300 University Ave
Suite 125
Middleton
WI 53562-3463
Practice Telephone 6082378000
Practice Fax Number 6082378005
Mailing Telephone 6082378000
Mailing Fax Number 6082378005
Enumeration Date 2006-06-09
Last Update Date 2014-09-30
Authorized Official Name MS. JENNIFER WILGOCKI (CORPORATION PRESIDENT)
Authorized Official Telephone 6082378000
Authorized Official Credential MS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WI 42172000 05

Other Provider/Organization Names

Other Name Type Code
MIDWEST CTR FOR PSYCHOTHERAPY & SEX THERAPY Doing Business As Name - Organization

Office Location

Street Address 6300 UNIVERSITY AVE
SUITE 125
City MIDDLETON
State WI
Zip Code 53562-3463

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841698180 Janet A Billerbeck Social Worker 6300 University Ave, Suite 125, Middleton, WI 53562 2014-12-19
1023313657 Dawn M Brubakken Social Worker 6300 University Ave, Ste 125, Middleton, WI 53562-3463 2011-01-12
1811129414 Maria Helena Barroqueiro Juergens Counselor 6300 University Ave, Suite 125, Middleton, WI 53562-3463 2009-08-14
1265455794 Jane Rea James Social Worker 6300 University Ave, Suite 225, Middleton, WI 53562-3463 2006-07-25
1942221627 Daniel Brakarsh Psychologist 6300 University Ave, Suite 225, Middleton, WI 53562-3463 2006-07-21
1952322653 Patricia Miles Patterson Social Worker 6300 University Ave, Suite 225, Middleton, WI 53562-3463 2006-07-21
1174544746 James K Gerndt Psychologist 6300 University Ave, Suite 25, Middleton, WI 53562-3463 2006-07-21
1619998218 Shari Alene Cohn Social Worker 6300 University Ave, Suite 225, Middleton, WI 53562-3463 2006-07-21
1053338806 Jennifer Lynne Wilgocki Social Worker 6300 University Ave, Suite 225, Middleton, WI 53562-3463 2006-07-17
1053338814 Harvey Richard Dym Social Worker 6300 University Ave, Suite 225, Middleton, WI 53562-3463 2006-07-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770143802 Taylor Moore Chiropractor 6629 University Ave Ste 101, Middleton, WI 53562 2019-06-20
1558861302 Nissenbaum and Schleusner Pro Physical Therapy LLC Physical Therapist 6649 University Ave Ste 100, Middleton, WI 53562 2018-02-19
1750804514 University of Wisconsin Hospitals and Clinics Authority Pharmacy 3185 Deming Way, Middleton, WI 53562 2017-07-24
1285165803 Julie Zimmerman Pharmacist 7414 Voss Pkwy, Middleton, WI 53562 2017-03-24
1982072773 Gina Craig Physical Therapist 2521 Allen Boulevard, Middleton, WI 53562 2015-09-10
1588030464 Nicholas Capote Pharmacist 600 Highland Avenue, F6/133, Madison, WI 53562 2015-08-14
1679975734 Emily Herzog Nurse Practitioner 7248 Squire Cir, Middleton, WI 53562 2014-09-20
1942620752 Brooke Michelle Moungey Emergency Medicine 8540 Greenway Blvd, Middleton, WI 53562 2014-04-18
1962820027 Jennifer Ciske Larson Ophthalmology 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 2014-04-04
1740525971 Sara E.m. Nichols Veterinarian 1612 N. High Point Rd., Middleton, WI 53562 2012-11-28
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1598377244 Calming Journeys Counseling, S.c. Clinic/Center 220 Wisconsin Dells Pkwy S Ste 1, Wisconsin Dells, WI 53965-8305 2020-08-23
1811509979 Natural Wisdom Counseling LLC Clinic/Center 1523 Wi-78 Trunk, Mount Horeb, WI 53572 2020-08-20
1245841089 Integrated Counseling LLC Clinic/Center 7818 Big Sky Dr Ste 214, Madison, WI 53719-2840 2020-08-14
1629687108 Premier Medical & Couple Therapy Clinic/Center 1025 W Glen Oaks Ln Ste 208, Mequon, WI 53092-3374 2020-07-30
1841809878 Lifespan Psychotherapy Clinic/Center 510 Hartbrook Dr Ste 204b, Hartland, WI 53029-1440 2020-07-27
1114535929 Eclipse Counseling LLC Clinic/Center 1136 Barron St, Eau Claire, WI 54703 2020-07-17
1275164709 Katrina M. Johnson, LLC Clinic/Center 106 Passive Sun Drive, Soldiers Grove, WI 54655 2020-02-03
1316587439 Sixteenth Street Community Health Centers, Inc. Clinic/Center 1635 W National Ave, Milwaukee, WI 53204-1130 2020-01-07
1386283034 Mainstreet Counseling Clinic/Center 1717 11th St, Monroe, WI 53566-1839 2019-12-29
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Competitor

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City MIDDLETON
Zip Code 53562

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Dataset Information

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.

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