Community Psychological Services Of Waupun Llc in Waupun - Mental Health (including Community Mental Health Center)
Community Psychological Services Of Waupun Llc - NPI 1225138126
Community Psychological Services Of Waupun Llc is a Mental Health (including Community Mental Health Center) in Waupun, Wisconsin. Community Psychological Services Of Waupun Llc practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Community Psychological Services Of Waupun Llc is 1225138126. The last update date is 2020-08-22.
Community Psychological Services Of Waupun Llc's current location address is 1208 S Watertown St, Waupun, Wisconsin. You can contact this provider via phone number 9203244358 and fax number 9203244737. The mailing address for Community Psychological Services Of Waupun Llc is 1208 S Watertown St, Waupun, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Psychological Services Of Waupun Llc |
|---|---|
| Address | 1208 S Watertown St, Waupun, Wisconsin |
| Phone Number | 9203244358 |
| Fax Number | 9203244737 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHOLOGI |
|---|---|
| Authorized Official Name | Deyoung Norman Robert |
| Credentials | PH D |
| Telephone Number | 9203244358 |
NPI Number Detail
| NPI Number | 1225138126 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1208 S Watertown St |
|---|---|
| City | Waupun |
| State | Wisconsin (WI) |
| Post Code | 539632309 |
| Phone Number | 9203244358 |
| Fax Number | 9203244737 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
| Licence No | 1228 |
|
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 |
|---|---|---|---|
| 42127800 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Community Psychological Services Of Waupun Llc by the Centers for Medicare & Medicaid Services?
The Community Psychological Services Of Waupun Llc has been assigned the NPI (National Provider Identifier) 1225138126 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Community Psychological Services Of Waupun Llc's facilities are situated?
The facilities of Community Psychological Services Of Waupun Llc are physically located at the following address: 1208 S Watertown St, Waupun, WI, 539632309.
What is Community Psychological Services Of Waupun Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Community Psychological Services Of Waupun Llc's specialized field of practice is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code that categorizes this area of specialization is 261Qm0801X.
On what date did the Centers for Medicare & Medicaid Services assign the 1225138126 to Community Psychological Services Of Waupun Llc?
The Centers for Medicare & Medicaid Services assigned the 1225138126 to Community Psychological Services Of Waupun Llc on 2006-09-22.
When was the information regarding Community Psychological Services Of Waupun Llc most recently updated?
The details pertaining to the Community Psychological Services Of Waupun Llc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.