Organization
JANESVILLE PSYCHIATRIC CLINIC MAIN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM HOLLINGSWORTH (CLINIC DIRECTOR, OWNER)
(608) 755-1475
Entity
Organization
Contact information
Practice address
15 W MILWAUKEE ST, SUITE 206 & 207, JANESVILLE, WI 53548-2998
(608) 755-1475
(608) 755-1733
Mailing address
15 W MILWAUKEE ST, SUITE 206 & 207, JANESVILLE, WI 53548-2998
(608) 755-1475
(608) 755-1733
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1448
WI
101YM0800X
Mental Health Counselor
Primary
1448
WI
103T00000X
Psychologist
1448
WI
103TC2200X
Clinical Child & Adolescent Psychologist
1448
WI
1041C0700X
Clinical Social Worker
1448
WI
106H00000X
Marriage & Family Therapist
1448
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659447704
—
WI
05
—
42123800
—
WI
05
—
43007200
—
WV
Enumeration date
11/28/2006
Last updated
11/02/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us