BARABOO PSYCHOLOGICAL SERVICES INC NPI 1174749725

NPI Information

NPI: 1174749725
Provider Name: BARABOO PSYCHOLOGICAL SERVICES, INC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
227 5TH AVE
BARABOO, WI
ZIP 53913
Phone: (608) 356-9066
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BARABOO PSYCHOLOGICAL SERVICES, INC is a mental health counselor in Baraboo, WI. BARABOO PSYCHOLOGICAL SERVICES, INC NPI is 1174749725. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

227 5TH AVE
BARABOO, WI
ZIP 53913-116
Phone: (608) 356-9066
Fax: (608) 356-9470

The provider's authorized official is Deborah Jean Martin .
The authorized official title is Therapist and has the following contact phone number (608) 356-9066.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	396-44-800	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	42213700	MEDICAID	WISCONSIN

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: 5/5/2024

NPI Synchronization or Removal

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