Provider Type Icon

COMMUNITY SUPPORT NETWORK INC NPI 1336563725


NPI Information

NPI: 1336563725
Provider Name: COMMUNITY SUPPORT NETWORK, INC

Doing Business As: COLLABORATIONS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1191 N SHERMAN AVE
MADISON, WI
ZIP 53704
Phone: (608) 421-3239
Get Directions

COMMUNITY SUPPORT NETWORK, INC is a mental health (including community mental health center) clinic center in Madison, WI. COMMUNITY SUPPORT NETWORK, INC NPI is 1336563725. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Collaborations.

The provider's business location address is:

1191 N SHERMAN AVE
MADISON, WI
ZIP 53704-234
Phone: (608) 421-3239
Fax: (608) 270-2238

The provider's authorized official is Deborah Korsower Raettig .
The authorized official title is Executive Director and has the following contact phone number (608) 421-3239.

The enumeration date for this NPI number is 2/6/2014 and was last updated on 7/22/2014.


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
1101YM0800XCounselorMental HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13027OTHERWISCONSINDEPARTMENT OF HEALTH SERVICES DQA

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: 4/28/2024

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.