TELLURIAN, INC.


Address: 2914 Industrial Dr, Madison, WI 53713-4047
Phone: 6082233300

TELLURIAN, INC. (NPI# 1043487697) 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) 1043487697
Entity Type Organization
Organization Name TELLURIAN, INC.
Other Organization Name DAY TREATMENT-MADISON
Practice Address 2914 Industrial Dr
Madison
WI 53713-4047
Practice Telephone 6082233300
Enumeration Date 2008-05-13
Last Update Date 2019-05-06
Authorized Official Name KELLY E CROOKS (QUALITY ASSURANCE MANAGER)
Authorized Official Telephone 6086632120
Authorized Official Credential MSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 1904 WI Agencies

Other Provider Identifier

State Issuer Identifier Type Code
WI 42197221 05

Other Provider/Organization Names

Other Name Type Code
Day Treatment-Madison Other Name - Individual/Organization
Synergy Day Treatment Other Name - Individual/Organization
Tellurian UCAN inc Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1164432118 Tellurian, Inc. Psychiatry & Neurology 1053 Williamson St, Madison, WI 53703-3525 2006-08-09
1740213776 Tellurian, Inc. Community/Behavioral Health 300 Femrite Dr, Monona, WI 53716-3716 2006-07-10
1104279330 Tellurian, Inc. Community/Behavioral Health 414 Broadway St, Suite 101, Baraboo, WI 53913-2488 2016-07-22
1013261486 Tellurian, Inc. Substance Abuse Rehabilitation Facility 2914 Industrial Dr, Madison, WI 53713-4047 2012-11-06
1609129410 Tellurian, Inc. Community Based Residential Treatment Facility, Mental Illness 300 Femrite Dr, Monona, WI 53716-3716 2012-10-17
1437401338 Tellurian, Inc. Community Based Residential Treatment Facility, Mental Illness 4647 Mormon Coulee Rd, La Crosse, WI 54601-8225 2012-10-03
1558638494 Tellurian, Inc. Substance Abuse Rehabilitation Facility 300 Femrite Dr, Monona, WI 53716-3716 2011-11-21
1235302480 Tellurian, Inc. Community/Behavioral Health 300 Femrite Dr, Monona, WI 53716-3716 2008-04-09

Office Location

Street Address 2914 INDUSTRIAL DR
City MADISON
State WI
Zip Code 53713-4047

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760941116 Quinton Richard Wedig Counselor 2914 Industrial Dr, Madison, WI 53713-4047 2019-03-15
1841658036 Earle R Edwards Counselor 2914 Industrial Dr, Madison, WI 53713-4047 2016-02-03
1336541762 Barbara L Allen Counselor 2914 Industrial Dr, Madison, WI 53713-4047 2014-09-17
1013261486 Tellurian, Inc. Substance Abuse Rehabilitation Facility 2914 Industrial Dr, Madison, WI 53713-4047 2012-11-06
1154676237 Michelle Kanvik Registered Nurse 2914 Industrial Dr, Madison, WI 53713-4047 2012-07-16
1134474216 Victoria Ericsson-moon Registered Nurse 2914 Industrial Dr, Madison, WI 53713-4047 2012-07-16
1881949956 Laura A Wood Registered Nurse 2914 Industrial Dr, Madison, WI 53713-4047 2012-07-16
1073868147 Karen A Schreier Registered Nurse 2914 Industrial Dr, Madison, WI 53713-4047 2012-07-16
1700131869 Timothy J Gibneski Registered Nurse 2914 Industrial Dr, Madison, WI 53713-4047 2012-07-16
1114272291 Stephanie Mendel Registered Nurse 2914 Industrial Dr, Madison, WI 53713-4047 2012-07-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508406760 Diana Kay Woodruff Registered Nurse Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 2020-01-15
1568008886 Avery Reven Kansteiner Counselor 105 Ski Court, Madison, WI 53713 2019-11-21
1518501329 Erica D Anderson Counselor 1125 W Badger Rd Apt 6, Madison, WI 53713 2019-11-05
1942799739 Emily Natera Counselor 128 E. Olin Ave., Ste. 100, Madison, WI 53713 2018-05-07
1295255644 Renee Denise Wilberg Counselor 122 E. Olin Avenue, Madison, WI 53713 2017-06-26
1548793060 Racquel Williams-kroll Registered Nurse 151 East Badger Road Ste A, Madison, WI 53713 2017-04-11
1124570841 Shirley Norman-johnson Licensed Practical Nurse 115 East Badger Rd, Suite A, Madison, WI 53713 2016-10-28
1629525613 Katherine Simons Melde Nurse Practitioner 2222 S Park St Ste 210, Madison, WI 53713 2016-09-07
1013301779 Bio-medical Applications of Wisconsin, Inc. Clinic/Center 2840 Index Rd., Madison, WI 53713 2015-03-20
1902147721 Jill Zimmerman Occupational Therapy Assistant 2801 Coho Street, Suite 300, Madison, WI 53713 2013-03-04
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871141366 Boone Memorial Hospital, Inc. Community/Behavioral Health 467 Main St Ste 4, Madison, WV 25130-2200 2019-08-28
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
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Competitor

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City MADISON
Zip Code 53713

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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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