Healthcare Provider Details

I. General information

NPI: 1386808384
Provider Name (Legal Business Name): COMMON THREADS FAMILY RESOURCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2008
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 N STOUGHTON RD
MADISON WI
53704-2605
US

IV. Provider business mailing address

1717 N STOUGHTON RD
MADISON WI
53704-2605
US

V. Phone/Fax

Practice location:
  • Phone: 608-838-8999
  • Fax: 608-838-8988
Mailing address:
  • Phone: 608-838-8999
  • Fax: 608-838-8988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number10375-800
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MICHAELA YOPPS
Title or Position: CLINICAL DIRECTOR
Credential:
Phone: 608-301-5370