ADDICTION SERVICES AND PHARMACOTHERAPY, SC (NPI# 1265922660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265922660 |
Entity Type | Organization |
Organization Name | ADDICTION SERVICES AND PHARMACOTHERAPY, SC |
Practice Address |
210 E Olin Ave Madison WI 53713-1434 |
Practice Telephone | 6088071428 |
Practice Fax Number | 6088071429 |
Mailing Telephone | 6088071428 |
Mailing Fax Number | 6088071429 |
Enumeration Date | 2018-05-11 |
Last Update Date | 2018-05-11 |
Authorized Official Name | CHRISTOPHER P HARKIN (MEDICAL DIRECTOR) |
Authorized Official Telephone | 6082796879 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013572353 | Addiction Services and Pharmacotherapy, Sc | Clinic/Center | 11390 W Theo Trekr Way, West Allis, WI 53214-1135 | 2019-05-02 |
Street Address |
210 E OLIN AVE |
City | MADISON |
State | WI |
Zip Code | 53713-1434 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053927376 | Elizabeth M Schrimpf | Counselor | 210 E Olin Ave, Madison, WI 53713-1434 | 2020-09-22 |
1629614755 | Morgan Paige Peil | Licensed Practical Nurse | 210 E Olin Ave, Madison, WI 53713-1434 | 2019-11-25 |
1275177305 | Theresa Kyriakopoulos | Registered Nurse | 210 E Olin Ave, Madison, WI 53713-1434 | 2019-11-01 |
1497396790 | Anna Catherine Jenson | Social Worker | 210 E Olin Ave, Madison, WI 53713-1434 | 2019-10-08 |
1548734346 | Leslie Naber | Registered Nurse | 210 E Olin Ave, Madison, WI 53713-1434 | 2019-01-15 |
1659848901 | Joseph Matthew Kararo Jr. | Licensed Practical Nurse | 210 E Olin Ave, Madison, WI 53713-1434 | 2018-10-25 |
1609350578 | Jean Benjamin | Registered Nurse | 210 E Olin Ave, Madison, WI 53713-1434 | 2018-09-18 |
1851882427 | Susan Marie Partello | Registered Nurse | 210 E Olin Ave, Madison, WI 53713-1434 | 2018-05-19 |
1942791512 | Alyssa Lynn Coffey | Registered Nurse | 210 E Olin Ave, Madison, WI 53713-1434 | 2018-05-19 |
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 |
Find all providers in zip 53713 |
Taxonomy Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194992404 | Milwaukee Health Services System, LLC | Clinic/Center | 5109 World Dairy Dr, Madison, WI 53718-3807 | 2008-05-15 |
1881131761 | Psychological Addiction Services LLC | Clinic/Center | 3113 E Washington Ave, Madison, WI 53704-4330 | 2017-01-30 |
1477605335 | Madison Health Services | Clinic/Center | 5109 World Dairy Dr., Madison, WI 53718 | 2007-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356951321 | Premier Care of Wisconsin, LLC. | Clinic/Center | 1333 College Ave Ste M1, South Milwaukee, WI 53172-1150 | 2020-08-05 |
1013572353 | Addiction Services and Pharmacotherapy, Sc | Clinic/Center | 11390 W Theo Trekr Way, West Allis, WI 53214-1135 | 2019-05-02 |
1740767292 | Ansa Treatment Center Inc | Clinic/Center | 4111 N Port Washington Rd Ste 101a, Milwaukee, WI 53212-1029 | 2018-07-26 |
1003150004 | Ams of Wisconsin, LLC | Clinic/Center | 9532 E 16 Frontage Rd, Suite 100, Onalaska, WI 54650-6739 | 2012-11-15 |
1780850594 | Milwaukee Health Services System, LLC | Clinic/Center | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2008-05-01 |
1174798524 | Milwaukee Health Services System, LLC | Clinic/Center | 4800 S 10th St Unit 1, Milwaukee, WI 53221-2412 | 2008-04-28 |
1093912768 | C.o.r.e.,llc | Clinic/Center | 4555 W Schroeder Dr Ste 185, Brown Deer, WI 53223-1494 | 2007-06-27 |
1336247139 | Milwaukee Health Services System, LLC | Clinic/Center | 210 Washington St., Wausau, WI 54403-5475 | 2006-09-20 |
1326423534 | Tereo Narcotic Treatment Center, LLC | Clinic/Center | 2405 Northwestern Ave, Suite Lower Level, Racine, WI 53404-2534 | 2015-07-29 |
1972980217 | Milwaukee Health Services | Clinic/Center | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2015-05-06 |
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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.