PSYCHOLOGICAL ADDICTION SERVICES LLC (NPI# 1881131761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881131761 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGICAL ADDICTION SERVICES LLC |
| Practice Address |
3113 E Washington Ave Madison WI 53704-4330 |
| Practice Telephone | 6084165777 |
| Practice Fax Number | 6084165776 |
| Mailing Telephone | 6084165777 |
| Mailing Fax Number | 6084165776 |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2018-10-08 |
| Authorized Official Name | DONALD A ZUKOWSKI (PRESIDENT) |
| Authorized Official Telephone | 6082258954 |
| 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 |
| Street Address |
3113 E WASHINGTON AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53704-4330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316087679 | Susan D. Brown | Licensed Practical Nurse | 3113 E Washington Ave, Madison, WI 53704-4330 | 2007-02-07 |
| 1760094304 | Jamie Jean Webster | Licensed Practical Nurse | 3113 E Washington Ave, Madison, WI 53704-4330 | 2020-08-17 |
| 1437770765 | Stacy Marie Fitzgerald | Licensed Practical Nurse | 3113 E Washington Ave, Madison, WI 53704-4330 | 2020-04-28 |
| 1356988950 | Theresa Rohner | Registered Nurse | 3113 E Washington Ave, Madison, WI 53704-4330 | 2019-12-03 |
| 1083258396 | Brianna Bingham | Registered Nurse | 3113 E Washington Ave, Madison, WI 53704-4330 | 2019-10-30 |
| 1043870520 | Jodie Lynn Kroll | Licensed Practical Nurse | 3113 E Washington Ave, Madison, WI 53704-4330 | 2019-06-18 |
| 1235623323 | Elizabeth Susan Regnier | Registered Nurse | 3113 E Washington Ave, Madison, WI 53704-4330 | 2018-06-21 |
| 1295225605 | Amanda Martinelli | Registered Nurse | 3113 E Washington Ave, Madison, WI 53704-4330 | 2018-05-11 |
| 1194234922 | Amy Brown | Counselor | 3113 E Washington Ave, Madison, WI 53704 | 2017-09-25 |
| 1871951046 | Shelley Hoepfner | Counselor | 3113 E Washington Ave, Madison, WI 53704-4330 | 2016-02-03 |
| 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 | 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 |
|---|---|---|---|---|
| 1265922660 | Addiction Services and Pharmacotherapy, Sc | Clinic/Center | 210 E Olin Ave, Madison, WI 53713-1434 | 2018-05-11 |
| 1194992404 | Milwaukee Health Services System, LLC | Clinic/Center | 5109 World Dairy Dr, Madison, WI 53718-3807 | 2008-05-15 |
| 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.