Professional Services Group, Inc.

LBN: Professional Services Group, Inc.
Professional Services Group, Inc. is an health care organization with primary practice located at 220 Washington Avenue , Oshkosh WI 54903. 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 (920) 237-6990, or through Wolf, Brian A via phone (414) 727-2789.

Contact Information

Primary practice address
220 Washington Avenue Oshkosh WI 54903
Phone: (920) 237-6990
Fax: (920) 424-7521
Website:
Map and Directions
Authorized official contact:
Name: Wolf, Brian A PHD
Phone: (414) 727-2789

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1749 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1749 Wisconsin

Profile Details

NPI number 1598080525
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 Apr 1st, 2010
Last updated May 12th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598080525 NPPES
Wisconsin Other 000084462 MEDICARE ID - TYPE UNSPECIFIED

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