Greenbush Psychotherapy LLC is a Psychologist (organization) practicing in Madison, Wisconsin. The National Provider Identifier (NPI) is #1891568002, which was assigned on October 31, 2023, and the registration record was last updated on October 31, 2023. The practitioner's main practice location is at 541 S Randall Ave, Madison, WI 53715-1653; the contact telephone number is 6089631380. The primary taxonomy of Greenbush Psychotherapy LLC is Psychologist (103T00000X). The authorized official for Greenbush Psychotherapy LLC is Jessica Marie Brooks (Psychologist/Owner).
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
NPI | 1891568002 |
Entity Type | Organization |
Organization Name | GREENBUSH PSYCHOTHERAPY LLC |
Provider Name | GREENBUSH PSYCHOTHERAPY LLC |
Practice Address |
541 S Randall Ave Madison WI 53715-1653 |
Practice Telephone | 6089631380 |
Mailing Address |
6580 Monona Dr # 1153 Monona WI 53716-4032 |
Certification Date | 2023-10-31 |
Enumeration Date | 2023-10-31 |
Last Update Date | 2023-10-31 |
Is Organization Subpart | N |
Official Name | JESSICA MARIE BROOKS |
Official Title | PSYCHOLOGIST/OWNER |
Telephone | 6089631380 |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
N | 101Y00000X | Counselor | 193200000X MULTI-SPECIALTY GROUP | |||
N | 101YM0800X | Counselor | Mental Health | 193200000X MULTI-SPECIALTY GROUP | ||
Y | 103T00000X | Psychologist | 193200000X MULTI-SPECIALTY GROUP | |||
N | 104100000X | Social Worker | 193200000X MULTI-SPECIALTY GROUP | |||
N | 1041C0700X | Social Worker | Clinical | 193200000X MULTI-SPECIALTY GROUP |
Code | 103T00000X |
Taxonomy | Psychologist |
Classification | Psychologist |
Grouping | Behavioral Health & Social Service Providers |
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
Notes: Source: American Psychological Association [1/1/2007: modified definition] |
Code | 101Y00000X |
Taxonomy | Counselor |
Classification | Counselor |
Grouping | Behavioral Health & Social Service Providers |
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
Code | 101YM0800X |
Taxonomy | Mental Health Counselor |
Classification | Counselor |
Specialization | Mental Health |
Grouping | Behavioral Health & Social Service Providers |
Definition: Definition to come... |
Code | 104100000X |
Taxonomy | Social Worker |
Classification | Social Worker |
Grouping | Behavioral Health & Social Service Providers |
Definition: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
Code | 1041C0700X |
Taxonomy | Clinical Social Worker |
Classification | Social Worker |
Specialization | Clinical |
Grouping | Behavioral Health & Social Service Providers |
Definition: 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. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
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Street Address |
541 S RANDALL AVE |
City | MADISON |
State | WI |
Zip Code | 53715-1653 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Neurodiversity & Disability Affirming Therapy Ltd. | 541 S Randall Ave, Madison, WI 53715 | Psychologist | 2024-01-26 |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Kyle Greiber | 202 S Park St 4 Tower, Madison, WI 53715 | Anesthesiology Physician | 2017-03-29 |
Tanya Aggarwal | Family Medicine Float Office, 1100 Delaplaine Court, Madison, WI 53715 | Adolescent Medicine (Family Medicine) Physician | 2020-06-05 |
Angelika G Johnson · Angie G Johnson | 201 S Park Street, 20, Madison, WI 53715 | Registered Nurse | 2006-06-17 |
St Mary's Dean Ventures Inc · Breast Core Biopsy Center | 1313 Fish Hatchery Road, Madison, WI 53715 | Radiology Clinic/Center | 2006-11-14 |
Samuel Kurtis | 202 South Park Street, 4 Tower, Madison, WI 53715 | Anesthesiology Physician | 2015-05-25 |
Leyonita Moore · Leya Moore | 333 E Campus Mall 7th Flr, Madison, WI 53715 | Counseling Psychologist | 2017-12-29 |
Colleen M Decorah | 201 South Park Street, Madison, WI 53715 | Registered Nurse | 2007-02-05 |
Mary G Rowe | 20 S Park Street, Madison, WI 53715 | Family Medicine Physician | 2006-04-08 |
Megan Gendel · Megan Welmer | University Health Services, 333 East Campus Mall, Madison, WI 53715 | Family Nurse Practitioner | 2011-08-09 |
Shannon Wegge | Ssm Health Outpatient Center, 703 S Brooks St, Madison, WI 53715 | Registered Nurse | 2024-04-08 |
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Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Community Care Physicians, PC · Imagecare North Greenbush | 101 Jordan Rd, Suite 202, Troy, NY 12180-8343 | Diagnostic Radiology Physician | 2013-08-07 |
East Greenbush Central School District | 29 Englewood Ave, East Greenbush, NY 12061-3900 | Local Education Agency (LEA) | 2006-12-26 |
East Greenbush Chiropractic PLLC | 569 Columbia Turnpike, East Greenbush, NY 12061 | Chiropractor | 2018-10-23 |
Rita Marie Greenbush | 11700 Mercy Blvd Ste 6, Savannah, GA 31419-1753 | Adult Health Nurse Practitioner | 2007-02-28 |
East Greenbush Chiropractic | 568 Columbia Tpke, East Greenbush, NY 12061-1600 | Chiropractor | 2006-06-11 |
East Greenbush Neurology Office, PLLC | 1528 Columbia Tpke, Castleton, NY 12033-9584 | Neurology Physician | 2009-06-18 |
East Greenbush Chiropractic PLLC | 569 Columbia Turnpike, East Greenbush, NY 12061 | Chiropractor | 2018-10-18 |
Greenbush Oaks, Inc · Poynette Counseling & Psychotherapy Assoc | 415 N Main St Ste 3, Poynette, WI 53955-8963 | Addiction (Substance Use Disorder) Counselor | 2008-10-28 |
East Greenbush Schools | 35 Gilligan Rd, Goff Middle School, East Greenbush, NY 12061-1715 | Local Education Agency (LEA) | 2011-10-04 |
Aesthetic Dentistry of East Greenbush | 739 Columbia Tpke, East Greenbush, NY 12061-2231 | Dental Clinic/Center | 2023-10-17 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |