SANKOFA BEHAVIORAL & COMMUNITY HEALTH, INC (NPI# 1912243288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912243288 |
Entity Type | Organization |
Organization Name | SANKOFA BEHAVIORAL & COMMUNITY HEALTH, INC |
Other Organization Name | SANKOFABCH |
Practice Address |
2810 Crossroads Dr Suite 4000 Madison WI 53718-7942 |
Practice Telephone | 4142029146 |
Mailing Telephone | 4142029146 |
Enumeration Date | 2012-12-14 |
Last Update Date | 2015-01-29 |
Authorized Official Name | VALERIE V. HENDERSON (DIRECTOR/CLINICIAL) |
Authorized Official Telephone | 4142029146 |
Authorized Official Credential | DR. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 251S00000X | Community/Behavioral Health | Agencies | ||
N | 251B00000X | Case Management | Agencies | ||
N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
Y | 251S00000X | Community/Behavioral Health | 3010 | WI | Agencies |
Other Name | Type Code |
---|---|
SankofaBCH | Doing Business As Name - Organization |
Street Address |
2810 CROSSROADS DR SUITE 4000 |
City | MADISON |
State | WI |
Zip Code | 53718-7942 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356555742 | Laura L. Wagner | Nurse Practitioner | 2810 Crossroads Dr, Madison, WI 53718-7942 | 2007-05-09 |
1063953008 | Madison Medical Supplies | Durable Medical Equipment & Medical Supplies | 2810 Crossroads Dr, Madison, WI 53718-7942 | 2017-03-09 |
1215315874 | Home Care Enterprise LLC | Home Health | 2810 Crossroads Dr, Suite 4000, Madison, WI 53718-7942 | 2015-05-14 |
1225416209 | Emma Fashing | Community Health Worker | 2810 Crossroads Dr, Madison, WI 53718-7942 | 2015-05-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475607 | Suchart Thammahong | Pharmacist | 734 Mclean Drive, Madison, Wi, WI 53718 | 2020-10-21 |
1780033431 | Elizabeth C Armstrong | Registered Nurse | 2810 Crossroads Dr Ste 4000, Madison, WI 53718 | 2016-06-03 |
1811356926 | Quirt Family Dentistry, Sc | Dentist | 6038 Gemini Drive, Madison, WI 53718 | 2016-02-17 |
1831583145 | Madison Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5115 N Biltmore Ln, Madison, WI 53718 | 2015-03-25 |
1972919959 | Hannah E Kussler | Physician Assistant | The American Center, 4602 Eastpark Blvd, Madison, WI 53718 | 2014-07-10 |
1104187079 | Kaitlin Hellenbrand | Occupational Therapist | 5249 East Terrace Drive, Madison, WI 53718 | 2012-06-06 |
1003172800 | Wisconsin Hyperbaric Oxygen LLC | Clinic/Center | 4660 S Biltmore Lane, Madison, WI 53718 | 2012-04-05 |
1801022850 | Justin Robert Bangert | Marriage & Family Therapist | 5310 Wall St., Ste #500, Madison, WI 53718 | 2009-06-04 |
1427292275 | Jane Louise Stroede | Physical Therapy Assistant | 2802 Walton Commons West, Madison, WI 53718 | 2009-04-23 |
1003060658 | Candace Leigh Pantoga | Occupational Therapist | 3030 City View Drive, City View Nursing Home, Madison, WI 53718 | 2008-11-10 |
Find all providers in zip 53718 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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1154838399 | Leslie Smith Lpc LLC | Community/Behavioral Health | 650 Sun Temple Dr, Madison, AL 35758-8621 | 2018-01-09 |
1497268817 | Imagine A Childs Capacity LLC | Community/Behavioral Health | 128 E Olin Ave Ste 201, Madison, WI 53713-1467 | 2017-11-07 |
1316464191 | Shore Wellness Ct | Community/Behavioral Health | 85b Wall St, Madison, CT 06443-3121 | 2017-08-23 |
1407302532 | Aba Steps LLC | Community/Behavioral Health | 3 Niles Ave, Madison, NJ 07940-2310 | 2016-08-29 |
1245786680 | Michelle Ayres, Ms, Lmft | Community/Behavioral Health | 111 S 1st St # 103, Madison, WI 53704-5244 | 2016-08-26 |
1124471412 | Lifeworks Counseling | Community/Behavioral Health | 940 Ebenezer Blvd., Madison, MS 39110 | 2016-07-21 |
1184078628 | Bridgeway Counseling | Community/Behavioral Health | 540 Hughes Rd Ste 3, Madison, AL 35758-8959 | 2016-04-21 |
1588022206 | Moore Counseling Services | Community/Behavioral Health | 808 Nw 3rd St, Madison, SD 57042-2518 | 2016-02-09 |
1073988051 | Killebrew Psychological Services, LLC | Community/Behavioral Health | 133 Berry Ln, Madison, MS 39110-8616 | 2015-12-02 |
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.