Professional Services Group, Inc. in Kenosha - Mental Health (including Community Mental Health Center)
Professional Services Group, Inc. - NPI 1619024262
Professional Services Group, Inc. is a Mental Health (including Community Mental Health Center) in Kenosha, Wisconsin. Professional Services Group, Inc. practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Professional Services Group, Inc. is 1619024262. The last update date is 2022-06-16.
Professional Services Group, Inc.'s current location address is 6233 39th Ave, Kenosha, Wisconsin. You can contact this provider via phone number 2626541004 and fax number 2626546960. The mailing address for Professional Services Group, Inc. is 6233 39th Ave, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Professional Services Group, Inc. |
|---|---|
| Address | 6233 39th Ave, Kenosha, Wisconsin |
| Phone Number | 2626541004 |
| Fax Number | 2626546960 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL D |
|---|---|
| Authorized Official Name | Grapengieser Jonathan |
| Credentials | PSYD |
| Telephone Number | 2626541004 |
NPI Number Detail
| NPI Number | 1619024262 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2022-06-16 |
Provider Mailing Address Detail
| Address | 6233 39th Ave |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531427015 |
| Phone Number | 2626541004 |
| Fax Number | 2626546960 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42125700 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Professional Services Group, Inc. by the Centers for Medicare & Medicaid Services?
The Professional Services Group, Inc. has been assigned the NPI (National Provider Identifier) 1619024262. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Professional Services Group, Inc.'s physical address?
The Professional Services Group, Inc. is physically located at 6233 39Th Ave, in the city of Kenosha, WI, with the postal code 531427015.
What is the area of specialization for Professional Services Group, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Professional Services Group, Inc. is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code that categorizes this area of expertise is 261Qm0801X.
When did the Professional Services Group, Inc. receive its 1619024262?
The Professional Services Group, Inc. was issued its 1619024262 on 2007-01-05, which is the date when the organization was assigned this unique identifier.
When was the Professional Services Group, Inc.'s information last updated?
The Professional Services Group, Inc.'s information was last updated on 2022-06-16.
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