MEDICARE: ANESIS FOUNDATION FOR MENTAL HEALTH INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	261QM0850X	Adult Mental Health Clinic/Center
3	261QM0855X	Adolescent and Children Mental Health Clinic/Center
4	251S00000X	Community/Behavioral Health Agency
5	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1750255162
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANESIS FOUNDATION FOR MENTAL HEALTH INC.

Provider Business Mailing Address
First Line	:	815 FORWARD DR
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53711-2443
Country	:	US
Telephone Number	:	608-268-6530
Fax Number	:

Provider Business Practice Location Address
First Line	:	815 FORWARD DR
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53711-2443
Country	:	US
Telephone Number	:	608-268-6530
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MYRA MCNAIR
Credential	:	LMFT
Telephone Number	:	608-268-6530

Provider Enumeration Date	:	09/30/2025
Last Update Date	:	01/23/2026

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