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Kintsugi Mental Health LLC — NPI 1679336077, Madison, WI | NPI Central

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NPI 1679336077

OrganizationActive

Kintsugi Mental Health LLC

NPI 1679336077 · Counseling Psychologist · Madison, WI

Provider details

NPI number: 1679336077
Entity type: Organization
Primary specialty: Counseling PsychologistBehavioral Health & Social Service Providers
Organization subpart: No
Authorized official: Jaime Lam, Owner/Licensed Psychologist(781) 698-9171

Specialties & taxonomies

Counseling PsychologistPrimary103TC1900X
Behavioral Health & Social Service Providers

Practice location

119 Martin Luther King Jr Blvd Ste Ll-20

Madison, WI 53703-3355

Phone: (608) 291-3586

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

5902 Tolman Ter

Madison, WI 53711-3360

Additional practice locations (1)

5902 Tolman Ter
Madison, WI 53711-3360
Phone: (781) 698-9171

Registry dates

Enumerated: 2024-01-30
Last updated: 2024-03-06
Certified: 2024-03-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.