Professional Services Group, Inc.
LBN: Professional Services Group, Inc.
Professional Services Group, Inc. is an health care organization with primary practice located at 800 Goold St , Racine WI 53402-4567. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Professional Services Group, Inc. can be contacted via phone (262) 638-2000, or through Wolf, Brian A. via phone (262) 652-2406.
Contact Information
Primary practice address
800 Goold St
Racine WI 53402-4567
Phone: (262) 638-2000
Fax: (262) 638-2006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2657 | Wisconsin |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2657 | Wisconsin |
Profile Details
| NPI number | 1124104740 |
|---|---|
| LBN Legal business name | Professional Services Group, Inc. |
| DBA Doing business as | |
| Authorized official | Wolf, Brian A. PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jun 30th, 2008 - about 17 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 | 1124104740 | NPPES |
| Wisconsin | MEDICAID | 42246800 |
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