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MENDOTA MENTAL HEALTH INSTITUTE NPI 1437106036


NPI Information

NPI: 1437106036
Provider Name: MENDOTA MENTAL HEALTH INSTITUTE
Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 52D0393414

Address:
301 TROY DR
MADISON, WI
ZIP 53704
Phone: (608) 301-1504
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MENDOTA MENTAL HEALTH INSTITUTE is a psychiatric hospital in Madison, WI. The provider is 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. MENDOTA MENTAL HEALTH INSTITUTE NPI is 1437106036. The provider is registered as an organization entity type.

The provider's business location address is:

301 TROY DR
MADISON, WI
ZIP 53704-521
Phone: (608) 301-1504
Fax: (608) 301-1538

The provider's authorized official is Gregory J Van Rybroeck .
The authorized official title is Director and has the following contact phone number (608) 301-1042.

The CLIA number assigned to this NPI record is 52D0393414 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 10/27/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1283Q00000XPsychiatric Hospital24251-020WISCONSINNo
2283Q00000XPsychiatric HospitalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.