MADISON PSYCHOTHERAPY CENTER, LLC
NPI 1063804870
Counselor - Mental Health in Madison, WI

Active since March 03, 2015
702 N BLACKHAWK AVE, SUITE 205, MADISON, WI 53705(608) 233-3037(608) 233-5893 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Madison Psychotherapy Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON PSYCHOTHERAPY CENTER, LLC (NPI 1063804870) is a healthcare organization registered as a mental health in Madison, Wisconsin and active in the NPI registry since March 2015. The organization lists Mary Ellen Miller, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1063804870
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMADISON PSYCHOTHERAPY CENTER, LLC
Location Address702 N BLACKHAWK AVE, SUITE 205Madison, WI 53705-3357
Mailing Address702 N Blackhawk Ave, Suite 205Madison, WI 53901-3357 · (608) 233-3037 · Fax (608) 233-5893
Fax(608) 233-5893
Organization SubpartNo
Authorized OfficialMary Ellen MillerClinic Director · (608) 233-3037
Enumeration DateMarch 3, 2015
NPI 1063804870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
702 N BLACKHAWK AVE, Madison, WI 53705

Other Identifiers 2

Medicaid1902023435WI
Medicare UPIN1902023435WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
702 N BLACKHAWK AVE, STE 100
MADISON, WI 53705
Psychologist
702 N BLACKHAWK AVE, STE 100
MADISON, WI 53705
Psychologist (Clinical)
702 N BLACKHAWK AVE, SUITE 104
MADISON, WI 53705
Psychiatry & Neurology (Child & Adolescent Psychiatry)
702 N BLACKHAWK AVE, SUITE 100
MADISON, WI 53705
Home Health
702 N BLACKHAWK AVE, SUITE 215
MADISON, WI 53705
Counselor (Mental Health)
702 N BLACKHAWK AVE, SUITE 104
MADISON, WI 53705
Counselor (Mental Health)
702 N BLACKHAWK AVE, STE 104
MADISON, WI 53705
Social Worker (Clinical)
702 N BLACKHAWK AVE, SUITE 104
MADISON, WI 53705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madison Psychotherapy Center, LLC's NPI number?

The NPI number for Madison Psychotherapy Center, LLC is 1063804870. It was assigned to this organization in the NPPES registry on March 3, 2015.

Where is Madison Psychotherapy Center, LLC located?

Madison Psychotherapy Center, LLC is located at 702 N Blackhawk Ave Suite 205, Madison, WI 53705. The listed phone number is (608) 233-3037.

What is Madison Psychotherapy Center, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Madison Psychotherapy Center, LLC was last updated on March 3, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.