DR. CARL G. MADSEN JR. (NPI# 1023069077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023069077 |
| Entity Type | Individual |
| Full Name | DR. CARL G. MADSEN JR. |
| Credential | MD |
| Practice Address |
217 Farabee Dr N Lafayette IN 47905-5910 |
| Mailing Address |
4654 Wexmoor Dr Kokomo IN 46902-9597 |
| Practice Telephone | 7654671312 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2009-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35-019550 | OH | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01035047A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100369110 | 05 |
| Street Address |
217 FARABEE DR N |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-5910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538708995 | Sarah Goff | Social Worker | 217 Farabee Dr N, Lafayette, IN 47905-5910 | 2020-01-03 |
| 1255643557 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 217 Farabee Dr N, Lafayette, IN 47905-5910 | 2010-07-02 |
| 1063539336 | Laura Houze | Counselor | 217 Farabee Dr N, Lafayette, IN 47905-5910 | 2007-03-23 |
| 1881710705 | James A Murphy | Social Worker | 217 Farabee Dr N, Lafayette, IN 47905-5910 | 2007-03-22 |
| 1730205642 | Vicki Mills | Social Worker | 217 Farabee Dr N, Lafayette, IN 47905-5910 | 2007-03-22 |
| 1407970767 | Samuel Gruber | Social Worker | 217 Farabee Dr N, Lafayette, IN 47905-5910 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893043 | Tms of Louisiana | Psychiatry & Neurology | 626 Verot School Rd Ste F, Lafayette, LA 70508-5094 | 2020-02-13 |
| 1386276996 | Meredith Mealer | Psychiatry & Neurology | 808 S Public Rd Ste 102, Lafayette, CO 80026-2194 | 2020-02-11 |
| 1235772492 | C Guedry LLC | Psychiatry & Neurology | 215 Bay Meadow Ln, Lafayette, LA 70507-2757 | 2019-10-21 |
| 1932498284 | Karen Marie George | Psychiatry & Neurology | 2520 North University Avenue, Lafayette, LA 70507-5306 | 2011-04-06 |
| 1548401516 | Ashley Jade Albarado | Psychiatry & Neurology | 3312 Kaliste Saloom Rd, Lafayette, LA 70508-7449 | 2009-03-20 |
| 1215119912 | Winston Irving Levy | Psychiatry & Neurology | 403 Huntley Avenue, Lafayette, LA 70508 | 2007-12-04 |
| 1003006701 | Dragoslav Gvozdjan | Psychiatry & Neurology | 415 N 26th St Ste 103, Lafayette, IN 47904-2855 | 2007-07-28 |
| 1356464283 | Scott Dorian Mayers | Psychiatry & Neurology | 216 Saint Landry St, Lafayette, LA 70506-3534 | 2007-04-07 |
| 1285711770 | Joni L Orazio | Psychiatry & Neurology | 119 Rue Fontaine, Lafayette, LA 70508 | 2006-11-01 |
| 1326123415 | Edgardo R Concepcion | Psychiatry & Neurology | 1131 Rue Du Belier, Lafayette, LA 70506 | 2006-10-26 |
| Find all providers in LAFAYETTE | ||||
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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.