Organization · Type 2 NPI

University of Wisconsin System Non Payroll

Adult Mental Health Clinic/Center · Madison, WI

NPI number 1184746828 Active

Practice location

122 E Olin Ave Ste 255
Madison, WI 53713

Fax (608) 263-4681

Specialties and licenses

Taxonomy	Code	License
Adult Mental Health Clinic/Center Primary	261QM0850X	None listed
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Another provider at this address

Brynna LundeBehavior Analyst Madison, WI NPI 1861329955

Other adult mental health clinic/center providers in Madison

See all in Madison →

NPI record

NPI: 1184746828
Entity type: Organization (Type 2)
Issued: Apr 4, 2007
Last updated: Dec 4, 2024
Status: Active

Other names

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Waisman Center Ties Clinic · doing business as
Waisman Center Ties Clinic · doing business as

Authorized official

Kenneth Mount
Associate Dean
(608) 263-4938

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1184746828

University of Wisconsin System Non Payroll's National Provider Identifier is 1184746828, issued on Apr 4, 2007. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Madison, WI. The record was last updated on Dec 4, 2024.