SBH-MADISON LLC
NPI 1003413816
Psychiatric Hospital in Middleton, WI
NPI Status: Active since October 05, 2020
Contact Information
3169 DEMING WAY
MIDDLETON, WI
ZIP 53562
Phone: (901) 969-3100
- Organization
- Psychiatric Hospital
- Accepts Insurance
- CLIA Number: 52D2285948
- CLIA Cert. Type: Other - OUTPATIENT CLINIC
- CLIA Exp. Date: 07-19-2027
About SBH-MADISON LLC
Sbh-madison Llc is a hospital serving the Middleton, Wisconsin region. The facility is a psychiatric hospital. The NPI number of this hospital is 1003413816 assigned on October 2020. The hospital's primary taxonomy code is 283Q00000X. The provider is registered as an organization and their NPI record was last updated March 2026. The provider's
- NPI
- 1003413816
- Provider Legal Name
- SBH-MADISON LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 3169 DEMING WAY MIDDLETON, WI 53562
- Location Phone
- (901) 969-3100
- Mailing Address
- 3169 DEMING WAY MIDDLETON, WI 53562
- Mailing Phone
- (608) 716-8288
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-05-2020
- Last Update Date
- 03-23-2026
- Code Navigator
According to the Hospital Compare program data, Sbh-madison Llc doesn't have an overall quality rating because data are shown only for hospitals that participate in the inpatient quality reporting (iqr) and outpatient quality reporting (oqr) programs.
Location Map
Secondary Locations
- N14W24200 Tower Pl
Waukesha, WI 53188
(615) 637-7157 - 1305 E Decorah Rd
West Bend, WI 53095
(608) 690-6880
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatric Hospital
- Taxonomy Code
- 283Q00000X
- Type
- Hospitals
- Taxonomy Description
- An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Atlas $1,300 Gold - PPO
- Atlas $2,000 Standard Gold - PPO
- Atlas $3,050 Plus Silver - PPO
- Atlas $3,800 HSA Silver - PPO
- Atlas $6,000 Standard Silver - PPO
- Atlas $6,800 Plus Bronze HSA - PPO
- Atlas $7,500 Standard Bronze HSA - PPO
- Atlas $8,400 HSA Bronze - PPO
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
- Essentia Choice Care with Medica Bronze HSA - EPO
- MercyCare Bronze 10,000 (1 Free PCP Visit) - HMO
- MercyCare Bronze Standard Expanded - HMO
- MercyCare Gold Standard - HMO
- MercyCare Silver 2,500 (3 Free PCP Visits) - HMO
- MercyCare Silver Health Savings - HMO
- MercyCare Silver Standard - HMO
- Prestige Bronze $0 Medical Deductible - HMO
- Prestige Bronze $0 Medical Deductible + Dental + Vision - HMO
- Prestige Bronze $0 Medical Deductible + Dental +Vision - HMO
- Prestige Bronze Essential + 3 Free PCP Visits - HMO
- Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Bronze Plus - HMO
- Prestige Gold - HMO
- Prestige Gold 50 + 1 Free PCP Visit - HMO
- Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
- Prestige Gold 50 + Dental + Vision+ 1 Free PCP Visit - HMO
- Enrich $2,000 - 25% - HMO
- Enrich $3,500 - 30% - HMO
- Enrich $4,000 - 50% - HMO
- Enrich $5,000 HDHP - HMO
- Enrich $6,000 - 40% - HMO
- Enrich $7,500 - HMO
- Enrich $7,500 HDHP - HMO
- Enrich $9,500 - HMO
- Enrich Protection - HMO
- Premier $2,000 - 25% - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3535 | OTHER (01) | WI | STATE LICENSE |
| 3340 | OTHER (01) | WI | STATE LICENSE |
Hospital Compare Quality Information
Star ratings information gives patients a useful way to compare local hospitals by highlighting important quality factors like readmissions, mortality, safety of care, patient experience and timely and effective care. The ratings are presented as stars, ranging from 1 to 5. A higher number of stars indicates better performance in each quality aspect.
-
Overall Quality Rating Not Available - Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
The overall rating is calculated by taking the weighted average of these group of scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.
-
Hospital Type Psychiatric - Proprietary
-
Emergency Services: No
Shows if the hospital provides emergency services like acute medical care or trauma care.
-
Meaningful Use of Electronic Health Records:
Shows if the hospital meets the criteria for promoting interoperability of Electronic Health Record Systems (EHRS).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D2285948
- Facility Type
- Other - OUTPATIENT CLINIC
- Certificate Effective Date
- July 20, 2025
- Certificate Expiration Date
- July 19, 2027
- Laboratory Director
- DR. YOGESH PAREEK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sbh-madison Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SBH-MADISON LLC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003413816, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
MIDDLETON, WI 53562
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003413816, enumerated as an "organization" on October 05, 2020.
The provider is located at 3169 DEMING WAY MIDDLETON, WI 53562 and the phone number is (901) 969-3100.
Psychiatric Hospital with taxonomy code 283Q00000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, HealthPartners,. Please consult your insurance carrier or call the provider to verify.
