Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel Lustgarten PHD LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1427729227

Samuel Lustgarten PHD LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Madison, Wisconsin. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

702 N Blackhawk Ave Ste 205
Madison, WI 53705-3357
Phone: (720) 260-4362
Fax: (971) 999-0817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1427729227
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Lustgarten — Licensed Psychologist/Owner · (720) 260-4362
NPI enumeratedSeptember 22, 2021
Last updated in NPPESDecember 23, 2022
Certification dateDecember 23, 2022
Mailing address702 N Blackhawk Ave Ste 205, Madison, WI 53705-3357

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