OPEN DOOR CENTER FOR CHANGE LLC
NPI 1215068069
Clinic/Center - Mental Health (Including Community Mental Health Center) in Madison, WI

Q: What is Open Door Center For Change LLC's NPI number?

The NPI number for Open Door Center For Change LLC is 1215068069. It was assigned to this organization in the NPPES registry on March 7, 2007.

Q: What is Open Door Center For Change LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since March 07, 2007

6502 GRAND TETON PLZ STE 102, MADISON, WI 53719(608) 827-7220(608) 827-7223 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2024, Apr 12, 2023, Aug 5, 2022 and 2 more (5 updates tracked since 2020).

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About Open Door Center For Change Llc NPPES

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

OPEN DOOR CENTER FOR CHANGE LLC (NPI 1215068069) is a healthcare organization registered as a mental health (including community mental health center) in Madison, Wisconsin and active in the NPI registry since March 2007. The organization maintains a secondary practice location in Madison and lists Amy J Mosher-garvey, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1215068069

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameOPEN DOOR CENTER FOR CHANGE LLC

Location Address6502 GRAND TETON PLZ STE 102Madison, WI 53719-1047

Mailing Address6502 Grand Teton Plz Ste 102Madison, WI 53719-1047 · (608) 827-7220 · Fax (608) 827-7223

Phone(608) 827-7220

Fax(608) 827-7223

Organization SubpartNo

Authorized OfficialAmy J Mosher-garveyCo-owner · (608) 827-7220

Enumeration DateMarch 7, 2007

Last NPPES UpdateMarch 7, 20245 updates tracked since enumeration

NPPES CertifiedMarch 7, 2024

✔ NPI 1215068069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

6502 GRAND TETON PLZ STE 102, Madison, WI 53719

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Secondary Practice Location 1

Location 12820 Walton Commons Ln Ste 128Madison, WI 53718-6797 · Phone (608) 827-7220 · Fax (608) 827-7223

Other Identifiers 1

Medicaid42198900WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Quartz.Insurance ›

Other Providers at the Same Location NPPES 13

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

ANDREW HARTKE POWELL LCSW

Social Worker (Clinical)