Open Door Center for Change LLC
NPI 1215068069 · Mental Health Clinic/Center (Including Community Mental Health Center) · Madison, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Open Door Center for Change LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Madison, WI (NPI 1215068069).
Provider details
- NPI number
- 1215068069
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amy Mosher-Garvey, Co-Owner(608) 827-7220
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2820 Walton Commons Ln Ste 128Madison, WI 53718-6797Phone: (608) 827-7220Fax: (608) 827-7223
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2024-03-07
- Certified
- 2024-03-07
Frequently asked questions
- What is Open Door Center for Change LLC's NPI number?
- Open Door Center for Change LLC's National Provider Identifier (NPI) is 1215068069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Open Door Center for Change LLC?
- Open Door Center for Change LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Open Door Center for Change LLC located?
- Open Door Center for Change LLC's practice location on file with NPPES is 6502 Grand Teton Plz Ste 102, Madison, WI 53719-1047.
- What is Open Door Center for Change LLC's phone number?
- The practice phone number listed in the NPPES registry for Open Door Center for Change LLC is (608) 827-7220.
- Does Open Door Center for Change LLC accept Medicare?
- Open Door Center for Change LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Open Door Center for Change LLC?
- The authorized official listed on Open Door Center for Change LLC's NPPES record is Amy Mosher-Garvey, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Open Door Center for Change LLC's NPI active?
- Yes — Open Door Center for Change LLC's NPI (1215068069) is active in the NPPES registry as of the last update on 2024-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.