Healthcare Provider Details

I. General information

NPI: 1942132964
Provider Name (Legal Business Name): ERIN JUDKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 W MAIN ST
MADISON WI
53715-1424
US

IV. Provider business mailing address

702 W MAIN ST
MADISON WI
53715-1424
US

V. Phone/Fax

Practice location:
  • Phone: 608-800-7991
  • Fax:
Mailing address:
  • Phone: 608-977-0873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number1845433
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: