PSYCHOLOGY CLINIC INC.
NPI 1336222769
Clinic/Center in Madison, WI
About Psychology Clinic Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PSYCHOLOGY CLINIC INC. (NPI 1336222769) is a healthcare organization registered as a clinic/center in Madison, Wisconsin and active in the NPI registry since October 2006. The organization maintains 3 additional practice locations and lists David Roethe, Psychologist/co-director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Psychology Clinic Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Psychology Clinic Inc., which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Psychology Clinic Inc.'s NPI number?
The NPI number for Psychology Clinic Inc. is 1336222769. It was assigned to this organization in the NPPES registry on October 21, 2006.
Where is Psychology Clinic Inc. located?
Psychology Clinic Inc. is located at 702 N Blackhawk Ave Ste 212, Madison, WI 53705. The listed phone number is (608) 238-9991.
What is Psychology Clinic Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Psychology Clinic Inc. enrolled in Medicare?
Yes. Psychology Clinic Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Psychology Clinic Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 5 Medicare specialties reassign their Medicare billing to Psychology Clinic Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (6), Clinical Psychologist (2) and Marriage and Family Therapist (2). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Psychology Clinic Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Quartz list Psychology Clinic Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Psychology Clinic Inc. was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Psychology Clinic Inc. · NPI 1336222769
Clinic/Center organization in Madison, Wisconsin. Organization record, active in the CMS NPPES registry since October 21, 2006.
## Identity
- **NPI:** 1336222769 (Entity type: Organization)
- **Enumerated:** October 21, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** David Roethe, PSYCHOLOGIST/CO-DIRECTOR
## Practice location
- **Address:** 702 N BLACKHAWK AVE STE 212, Madison, WI 53705-3357
- **Phone:** (608) 238-9991 · **Fax:** (608) 238-1929
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (6), Clinical Psychologist (2), Marriage and Family Therapist (2); 7 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 5, 2025
- **Other identifiers:** Medicaid 42161100 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1336222769) · Data from the CMS NPPES public registry.