Psychiatric Services Sc

LBN: Psychiatric Services Sc
Psychiatric Services Sc is an health care organization with primary practice located at 2727 Marshall Ct , Madison WI 53705-2255. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Psychiatric Services Sc can be contacted via phone (608) 238-9354, or through Hodulik, Charles James via phone (608) 238-9354.

Contact Information

Primary practice address
2727 Marshall Ct Madison WI 53705-2255
Phone: (608) 238-9354
Fax: (608) 238-7675
Website:
Map and Directions
Authorized official contact:
Name: Hodulik, Charles James Doctor of Medicine (MD)
Phone: (608) 238-9354

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1898-057 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1064-057 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2284-057 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2155-057 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1993-057 Wisconsin
Behavioral Health & Social Service Providers / Counseling 103TC1900X 920-057 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 522-123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1085-123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3257-123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7213-123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 504-123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 391-123 Wisconsin
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 41061-021 Wisconsin
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 22400-020 Wisconsin

Profile Details

NPI number 1902098957
LBN Legal business name Psychiatric Services Sc
DBA Doing business as
Authorized official Hodulik, Charles James Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2007
Last updated Jul 28th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902098957 NPPES
Wisconsin MEDICAID 42141600

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