Clinical Psychology Associates
LBN: Clinical Psychology Associates, Llc
Clinical Psychology Associates is an health care organization with primary practice located at 197 W Chestnut St Ste 100 , Burlington WI 53105-1200. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Clinical Psychology Associates, Llc can be contacted via phone (262) 763-9191, or through Thompson, David William via phone (262) 763-9191.
Contact Information
Primary practice address
197 W Chestnut St Ste 100
Burlington WI 53105-1200
Phone: (262) 763-9191
Fax: (262) 763-7767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1588 | Wisconsin |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1619156502 |
|---|---|
| LBN Legal business name | Clinical Psychology Associates, Llc |
| DBA Doing business as | Clinical Psychology Associates |
| Authorized official | Thompson, David William PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 29th, 2007 |
| Last updated | Apr 22nd, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619156502 | NPPES |
| Wisconsin | MEDICAID | 42171100 |
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