PSYCHOLOGY CLINIC INC.
NPI 1336222769
Clinic/Center in Madison, WI
NPI Status: Active since October 21, 2006
Contact Information
702 N BLACKHAWK AVE STE 212
MADISON, WI
ZIP 53705
Phone: (608) 238-9991
Fax: (608) 238-1929
- Organization
- Clinic/Center
- Accepts Insurance
About PSYCHOLOGY CLINIC INC.
This page provides the complete NPI Profile along with additional information for Psychology Clinic Inc., a provider established in Madison, Wisconsin operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1336222769 assigned on October 2006. The practitioner's primary taxonomy code is 261Q00000X with license number 1919 (WI). The provider is registered as an organization and their NPI record was last updated March 2025. The authorized official of this NPI record is Dr. David Roethe Ph.d. (Psychologist/co-director)
- NPI
- 1336222769
- Provider Name
- PSYCHOLOGY CLINIC INC.
- Entity Type
- Organization
- Location Address
- 702 N BLACKHAWK AVE STE 212 MADISON, WI 53705
- Location Phone
- (608) 238-9991
- Location Fax
- (608) 238-1929
- Mailing Address
- 702 N BLACKHAWK AVE STE 212 MADISON, WI 53705
- Mailing Phone
- (608) 238-9991
- Mailing Fax
- (608) 238-1929
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-21-2006
- Last Update Date
- 03-05-2025
- Code Navigator
Location Map
Secondary Locations
- 1190 Prairie St
Prairie Du Sac, WI 53578
(608) 370-6551 - 137 3rd Ave
Baraboo, WI 53913
(608) 448-2797 - 2985 Triverton Pike Dr Ste 201
Fitchburg, WI 53711
(608) 238-9991
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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 1919
- License State
- WI
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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
- Dean Bronze $0 Copay PCP Visits - HMO
- Dean Bronze Share - HMO
- Dean Catastrophic - HMO
- Dean Expanded Bronze Standard - HMO
- Dean Focus Bronze $0 Copay PCP Visits - EPO
- Dean Focus Bronze Share - EPO
- Dean Focus Catastrophic - EPO
- Dean Focus Expanded Bronze Standard - EPO
- Dean Focus Gold HSA - EPO
- Dean Focus Gold Share - EPO
- 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
- 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
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 |
|---|---|---|---|
| 42161100 | 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 | 3 | 3 | 6 | 2 | 2 | 2 | 7 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 4 | 2 | 4 | 7 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 4 + 2 + 4 + 7 + 1 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1336222769 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336222769, enumerated in the NPI registry as an "organization" on October 21, 2006
The provider is located at 702 N Blackhawk Ave Ste 212 Madison, Wi 53705 and the phone number is (608) 238-9991
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Dean 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 October 21, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.