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PSYCHOLOGICAL ADDICTION SERVICES LLC
NPI 1881131761
Clinic/Center - Methadone in Madison, WI

Active since January 30, 2017CLIA 52D2128477 · Waiver
3113 E WASHINGTON AVE, MADISON, WI 53704(608) 416-5777(608) 416-5776 Get Directions Write a Review

NPPES record last updated: October 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2018, Jan 30, 2017 (2 updates tracked since 2017).

About Psychological Addiction Services Llc NPPES

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

PSYCHOLOGICAL ADDICTION SERVICES LLC (NPI 1881131761) is a healthcare organization registered as a methadone in Madison, Wisconsin and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through August 18, 2027 and lists Donald A Zukowski, President, as its authorized official.

NPPES Registry Identity

NPI1881131761
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NamePSYCHOLOGICAL ADDICTION SERVICES LLC
Location Address3113 E WASHINGTON AVEMadison, WI 53704-4330
Mailing Address3113 E Washington AveMadison, WI 53704-4330 · (608) 416-5777 · Fax (608) 416-5776
Phone(608) 416-5777
Fax(608) 416-5776
Organization SubpartNo
Authorized OfficialDonald A ZukowskiPresident · (608) 225-8954
Enumeration DateJanuary 30, 2017
Last NPPES UpdateOctober 8, 20182 updates tracked since enumeration
✔ NPI 1881131761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
3113 E WASHINGTON AVE, Madison, WI 53704
Open in Google Maps ↗

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2128477

Psychological Addiction Services, LLC · Madison, WI
Active · expires Aug 18, 2027
CLIA Number52D2128477
Laboratory TypeSubstance Abuse Treatment
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorDavid Wagner
Laboratory Phone(608) 416-5777
Laboratory LocationPsychological Addiction Services, LLC3113 E Washington Ave, Madison, WI 53704
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
585 services19 patients
Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for G2077
Periodic assessment is a routine check-up by trained professionals to determine the best mix of services and treatments for your health needs. This is typically provided by a Medicare-enrolled opioid treatment program. It's listed separately in addition to your main treatment code. This ensures you receive the most suitable care for your situation.
22 services14 patients

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.

LINDSEY MOFFATT
Registered Nurse
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 416-5777
JODIE LYNN KROLL LPN
Licensed Practical Nurse
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 416-5777
REBECCA DEAL RN
Registered Nurse (Addiction (Substance Use Disorder))
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 242-0220
KELLIE LEWELLIN RN
Registered Nurse
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 416-5777
KATHY LOU JOHNSON LPN
Licensed Practical Nurse
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 242-0220
BRIANNA BINGHAM RN
Registered Nurse
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 416-5777
STEVEN D HESTNES SAC
Counselor (Addiction (Substance Use Disorder))
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 242-0220
MARCIA MARIE LEASER SAC
Counselor (Addiction (Substance Use Disorder))
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 242-0220

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 Psychological Addiction Services LLC's NPI number?

The NPI number for Psychological Addiction Services LLC is 1881131761. It was assigned to this organization in the NPPES registry on January 30, 2017.

Where is Psychological Addiction Services LLC located?

Psychological Addiction Services LLC is located at 3113 E Washington Ave, Madison, WI 53704. The listed phone number is (608) 416-5777.

What is Psychological Addiction Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Psychological Addiction Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2128477) is associated with this NPI, valid through August 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Psychological Addiction Services LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, MercyCare Health Plans and Quartz list Psychological Addiction Services LLC 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 Psychological Addiction Services LLC was last updated on October 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.