DR. SUSAN JEAN MACHKOVITZ (NPI# 1275742769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275742769 |
| Entity Type | Individual |
| Full Name | DR. SUSAN JEAN MACHKOVITZ |
| Credential | PH.D. |
| Practice Address |
317 Knutson Dr Madison WI 53704-1133 |
| Mailing Address |
147 Warren St Apt A Beaver Dam WI 53916-3083 |
| Practice Telephone | 6083018246 |
| Mailing Telephone | 9208854820 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
2025 | WI | Behavioral Health & Social Service Providers |
| Street Address |
317 KNUTSON DR |
| City | MADISON |
| State | WI |
| Zip Code | 53704-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174782 | Cari A Eggert | Physical Medicine & Rehabilitation | 317 Knutson Dr, Central Wisconsin Center, Madison, WI 53704-1133 | 2005-06-16 |
| 1588223424 | Alexandra Williams | Pharmacist | 317 Knutson Dr, Madison, WI 53704-1133 | 2019-06-12 |
| 1154835411 | Ashley Marie Alagna | Physical Therapist | 317 Knutson Dr, Madison, WI 53704-1133 | 2017-11-24 |
| 1891208534 | Sarah Wilkin | Occupational Therapist | 317 Knutson Dr, Madison, WI 53704-1133 | 2017-11-15 |
| 1396256038 | Abigail Marie Quamme | Physical Therapy Assistant | 317 Knutson Dr, Madison, WI 53704-1133 | 2017-10-21 |
| 1174043392 | Kris A Moeller | Occupational Therapist | 317 Knutson Dr, Madison, WI 53704-1133 | 2017-06-20 |
| 1952783706 | Theresa Murray | Physical Therapist | 317 Knutson Dr, Central Wisconsin Center, Pt/ot Rehab Department, Madison, WI 53704-1133 | 2015-06-28 |
| 1770964264 | Tegan Corrigan | Psychologist | 317 Knutson Dr, Madison, WI 53704-1133 | 2015-06-10 |
| 1689071599 | Clare Weege | Pharmacist | 317 Knutson Dr, Madison, WI 53704-1133 | 2014-11-21 |
| 1376974428 | Chelsea Cox | Physical Therapist | 317 Knutson Dr, Madison, WI 53704-1133 | 2013-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437444270 | Corey E Ray-subramanian | Psychologist | 559 Zor Shrine Pl, Madison, WI 53719-2068 | 2011-06-09 |
| 1033279245 | Pamela Faith Lewis | Psychologist | 600 Highland Ave, Compliance Mail Code 2433, Madison, WI 53792-0001 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917589 | Loving Elderly Adult Day Care Center LLC | Psychologist | 7017 N 58th St, Milwaukee, WI 53223-5204 | 2020-03-12 |
| 1497818520 | John Charles Iverson | Psychologist | 500 Riverview Ave, Waukesha, WI 53188-3632 | 2006-12-19 |
Please comment or provide details below to improve the information on DR. SUSAN JEAN MACHKOVITZ.
| 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.