SBH-MADISON LLC (NPI# 1003413816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003413816 |
| Entity Type | Organization |
| Organization Name | SBH-MADISON LLC |
| Practice Address |
3169 Deming Way Middleton WI 53562-1435 |
| Mailing Address |
8295 Tournament Dr Ste 201 Memphis TN 38125-8913 |
| Practice Telephone | 9019693100 |
| Mailing Telephone | 9019693100 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | MIRIAM E CHAMBLISS (VP LEGAL AFFAIRS AND RISK) |
| Authorized Official Telephone | 9018273997 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Miramont Behavioral Health | Doing Business As Name - Organization |
| Street Address |
3169 DEMING WAY |
| City | MIDDLETON |
| State | WI |
| Zip Code | 53562-1435 |
| 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 |
| Find all providers in zip 53562 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1205292869 | Veteran Health Administration | Psychiatric Hospital | 2500 Overlook Ter, Madison, WI 53705-2254 | 2016-01-12 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SBH-MADISON LLC.
| 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.