MEDICARE: GERIATRIC PSYCHIATRIC SERVICES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1235465659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GERIATRIC PSYCHIATRIC SERVICES PLLC

Provider Business Mailing Address
First Line	:	30781 STEPHENSON HWY
Second Line	:
City	:	MADISON HTS
State	:	MI
Zip	:	48071-1618
Country	:	US
Telephone Number	:	248-583-8922
Fax Number	:	248-583-8969

Provider Business Practice Location Address
First Line	:	2024 ADDERBURY LN
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53711-4002
Country	:	US
Telephone Number	:	734-883-3021
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ROBERT CLEMENTE
Credential	:
Telephone Number	:	248-619-9771

Provider Enumeration Date	:	10/20/2009
Last Update Date	:	10/20/2009

Similar Medicare Providers

1699585612 — PACIFIC CARE SERVICES LLC
Practice Location Address:

2018 ADDERBURY LN
MADISON, WI
53711-4002

Practice Phone: 608-338-7752
Practice Fax:

1255310652 — CHARMAINE A STEWART M.D.
Practice Location Address:

1908 ARLINGTON PL
MADISON, WI
53726-4002

Practice Phone: 608-298-7425
Practice Fax:

1801989496 — DR. ERIC J RASMUSSEN DDS
Practice Location Address:

4002 MONONA DR
MADISON, WI
53716-1138

Practice Phone: 608-222-6606
Practice Fax: 608-222-2532

1265501787 — STEVEN W SEGALL DDS SC
Practice Location Address:

4002 MONONA DRIVE
MADISON, WI
53716-1138

Practice Phone: 608-222-4777
Practice Fax: 608-222-2532

1740437151 — DR. STEVEN WALTER SEGALL DDS MS
Practice Location Address:

4002 MONONA DRIVE
MADISON, WI
53716-1138

Practice Phone: 608-222-4777
Practice Fax: 608-222-2532

1528536976 — EMILY ELIZABETH MORRIS
Practice Location Address:

4002 NAKOOSA TRL
MADISON, WI
53714-1314

Practice Phone: 608-241-9447
Practice Fax:

Directions to “GERIATRIC PSYCHIATRIC SERVICES PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.