Provider Demographics
NPI:1619644358
Name:ACCELERATED PSYCHIATRY, SC
Entity Type:Organization
Organization Name:ACCELERATED PSYCHIATRY, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERICK
Authorized Official - Middle Name:T
Authorized Official - Last Name:SHEFTIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:608-820-1570
Mailing Address - Street 1:6502 GRAND TETON PLZ STE 107
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-1047
Mailing Address - Country:US
Mailing Address - Phone:608-820-1570
Mailing Address - Fax:608-305-8848
Practice Address - Street 1:6502 GRAND TETON PLZ STE 107
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-1047
Practice Address - Country:US
Practice Address - Phone:608-820-1570
Practice Address - Fax:608-305-8848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-29
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty