FAMILY THERAPY CENTER OF MADISON, INC.
NPI 1164587150
Social Worker - Clinical in Madison, WI
NPI Status: Active since December 27, 2006
Contact Information
700 RAY O VAC DR
SUITE 220
MADISON, WI
ZIP 53711
Phone: (608) 276-9191
Fax: (608) 276-9144
- Organization
- Social Worker
- Clinical
- Accepts Insurance
About FAMILY THERAPY CENTER OF MADISON, INC.
This page provides the complete NPI Profile along with additional information for Family Therapy Center Of Madison, Inc., a provider established in Madison, Wisconsin operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1164587150 assigned on December 2006. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Carol Faynik (President/treasurer)
- NPI
- 1164587150
- Provider Name
- FAMILY THERAPY CENTER OF MADISON, INC.
- Entity Type
- Organization
- Location Address
- 700 RAY O VAC DR SUITE 220 MADISON, WI 53711
- Location Phone
- (608) 276-9191
- Location Fax
- (608) 276-9144
- Mailing Address
- 700 RAY O VAC DR SUITE 220 MADISON, WI 53711
- Mailing Phone
- (608) 276-9191
- Mailing Fax
- (608) 276-9144
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-27-2006
- Last Update Date
- 10-25-2013
- Code Navigator
A clinical social worker like Family Therapy Center Of Madison, Inc. is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | |
| 2 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | |
| 3 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 4 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Better Together HMO Bronze 6500 Ded/8000 MOOP - HMO
- Better Together HMO Bronze 7500 Ded/9200 MOOP - HMO
- Better Together HMO Bronze No Medical Ded/9200 MOOP - HMO
- Better Together HMO Gold 1000 Ded/6000 MOOP with Vision - HMO
- Better Together HMO Gold 1500 Ded/7800 MOOP - HMO
- Better Together HMO Gold 2900 Ded/2900 MOOP HSA - HMO
- Better Together HMO Platinum 500 Ded/1500 MOOP with Vision - HMO
- Better Together HMO Platinum No Ded/2800 MOOP - HMO
- Better Together HMO Platinum No Ded/4300 MOOP - HMO
- Better Together HMO Silver 4100 Ded/7500 MOOP with Vision - HMO
- Better Together HMO Silver 5000 Ded/8000 MOOP - HMO
- Better Together HMO Silver 5500 Ded/5500 MOOP HSA - HMO
- Partners HMO Bronze 5000 Ded/9200 MOOP - HMO
- Partners HMO Bronze 7500 Ded/9200 MOOP - HMO
- Partners HMO Bronze 7900 Ded/7900 MOOP HSA - HMO
- Partners HMO Gold 1000 Ded/6000 MOOP with Vision - HMO
- Partners HMO Gold 1500 Ded/7800 MOOP - HMO
- Partners HMO Gold 2900 Ded/2900 MOOP HSA - HMO
- Partners HMO Silver 4100 Ded/7500 MOOP with Vision - HMO
- Partners HMO Silver 5000 Ded/8000 MOOP - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER $0 DED FLAT RX COPAYS - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER $7000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $7000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
- QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) $9100 DED FLAT RX COPAYS - IL - HMO
- QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - IL - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 84-768 | MEDICARE ID-TYPE UNSPECIFIED (04) | WI | |
| 42111900 | MEDICAID (05) | WI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 5 | 8 | 7 | 1 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 10 | 8 | 14 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 0 + 8 + 1 + 4 + 1 + 1 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1164587150 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1992740161 | BEN Z FARBMAN LCSW Individual | Counselor (Mental Health) | 700 RAY O VAC DR SUITE 010 MADISON, WI 53711 (608) 270-1960 |
| 1538195607 | STEVEN R STEIN PH.D Individual | Psychologist (Cognitive & Behavioral) | 700 RAY O VAC DR MADISON, WI 53711 (608) 270-1960 |
| 1710042858 | ERICA R. SERLIN PHD Individual | Psychologist (Clinical) | 700 RAY O VAC DR SUITE 220 MADISON, WI 53711 (608) 276-9191 |
| 1801951843 | ABIGAIL M. YOUNG M.D. Individual | Psychiatry & Neurology (Psychiatry) | 700 RAY O VAC DR SUITE 220 MADISON, WI 53711 (608) 276-9191 |
| 1245395425 | ANNE S. BEAL MSSW Individual | Social Worker (Clinical) | 700 RAY O VAC DR SUITE 220 MADISON, WI 53711 (608) 276-9191 |
| 1164587366 | CAROL J. FAYNIK MA Individual | Social Worker (Clinical) | 700 RAY O VAC DR SUITE 220 MADISON, WI 53711 (608) 276-9191 |
| 1134284102 | SARA C. LONG M.D. Individual | Psychiatry & Neurology (Psychiatry) | 700 RAY O VAC DR SUITE 220 MADISON, WI 53711 (608) 276-9191 |
| 1295890259 | GAYLE M. ELLIS Individual | Psychologist (Clinical) | 700 RAY O VAC DR SUITE 220 MADISON, WI 53711 (608) 276-9191 |
| 1093870073 | JEAN S. BAE M.D. Individual | Psychiatry & Neurology (Psychiatry) | 700 RAY O VAC DR SUITE 220 MADISON, WI 53711 (608) 276-9191 |
| 1649335993 | R. LAWRENCE DEROO MS Individual | Social Worker (Clinical) | 700 RAY O VAC DR SUITE 220 MADISON, WI 53711 (608) 276-9191 |
| 1699830869 | MELINDA M. BAILEY PHD Individual | Psychologist (Clinical) | 700 RAY O VAC DR SUITE 220 MADISON, WI 53711 (608) 276-9191 |
| 1013073022 | THORSTEN W. HORTON PHD Individual | Social Worker (Clinical) | 700 RAY O VAC DR SUITE 220 MADISON, WI 53711 (608) 276-9191 |
| 1568803336 | LAURA K JOHNSON Individual | Marriage & Family Therapist | 700 RAY O VAC DR 103 MADISON, WI 53711 (608) 620-5365 |
| 1932585940 | KIND THERAPY, LLC Organization | Community/Behavioral Health | 700 RAY O VAC DR SUITE 103 MADISON, WI 53711 (608) 886-9595 |
| 1881058675 | PETER C. JACKSON, PSYD CONSULTING, SC Organization | Psychologist (Clinical) | 700 RAY O VAC DR SUITE 220 MADISON, WI 53711 (608) 276-9191 |
| 1942365994 | PETER C. JACKSON PSYD Individual | Psychologist (Clinical) | 700 RAY O VAC DR SUITE 220 MADISON, WI 53711 (608) 276-9191 |
| 1316985369 | COMMUNICATION DEVELOPMENT CENTER, INC. Organization | Speech-Language Pathologist | 700 RAY O VAC DR SUITE 200 MADISON, WI 53711 (608) 278-9161 |
| 1497931737 | ELIZABETH MICHELLE HUDSON Individual | Social Worker (Clinical) | 700 RAY O VAC DR STE 220 MADISON, WI 53711 (608) 276-9191 |
| 1710194634 | ALISSON BURDA MSSW, LCSW Individual | Social Worker (Clinical) | 700 RAY O VAC DR MADISON, WI 53711 (608) 886-9595 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164587150, enumerated in the NPI registry as an "organization" on December 27, 2006
The provider is located at 700 Ray O Vac Dr Suite 220 Madison, Wi 53711 and the phone number is (608) 276-9191
This medical organization specializes in Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Group Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on December 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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