Moontree Psychotherapy Center LLC
NPI 1770806259 · 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)
Moontree Psychotherapy Center LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Madison, WI (NPI 1770806259).
Provider details
- NPI number
- 1770806259
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dale Decker, Member(608) 256-5115
- License
- 1916 (WI)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 1916 (WI)
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Registry dates
- Enumerated
- 2010-03-11
- Last updated
- 2024-03-19
- Certified
- 2024-03-19
Frequently asked questions
- What is Moontree Psychotherapy Center LLC's NPI number?
- Moontree Psychotherapy Center LLC's National Provider Identifier (NPI) is 1770806259, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moontree Psychotherapy Center LLC?
- Moontree Psychotherapy Center LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Moontree Psychotherapy Center LLC located?
- Moontree Psychotherapy Center LLC's practice location on file with NPPES is 401 Wisconsin Ave, Madison, WI 53703-1487.
- What is Moontree Psychotherapy Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Moontree Psychotherapy Center LLC is (608) 256-5115.
- Does Moontree Psychotherapy Center LLC accept Medicare?
- Moontree Psychotherapy Center 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 Moontree Psychotherapy Center LLC?
- The authorized official listed on Moontree Psychotherapy Center LLC's NPPES record is Dale Decker, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moontree Psychotherapy Center LLC's NPI active?
- Yes — Moontree Psychotherapy Center LLC's NPI (1770806259) is active in the NPPES registry as of the last update on 2024-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.