OrganizationActive
Tellurian, Inc.
NPI 1235302480 · Mental Health Clinic/Center (Including Community Mental Health Center) · Monona, WI
Provider details
- NPI number
- 1235302480
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Crooks, Quality Assurance Manager(608) 663-2120
- License
- 774 (WI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Agencies
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
300 Femrite Dr
Monona, WI 53716-3716
Phone: (608) 222-7311
Fax: (608) 222-5904
Street-level locationGet directions
Mailing address
300 Femrite Dr
Monona, WI 53716-3716
Other names (DBA / former)
- Other name
- Tellurian Outpatient Clinic
- Former legal business name
- Tellurian Ucan Inc.
Registry dates
- Enumerated
- 2008-04-09
- Last updated
- 2022-08-15
- Certified
- 2021-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.