Professional Services Group, Inc.

LBN: Professional Services Group, Inc.
Professional Services Group, Inc. is an health care organization with primary practice located at 2108 63Rd St , Kenosha WI 53143-4454. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Professional Services Group, Inc. can be contacted via phone (262) 652-2406, or through Grapengieser, Jonathan via phone (262) 654-1004.

Contact Information

Primary practice address
2108 63Rd St Kenosha WI 53143-4454
Phone: (262) 652-2406
Fax: (262) 654-6960
Website:
Map and Directions
Authorized official contact:
Name: Grapengieser, Jonathan PSYD
Phone: (262) 654-1004

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1619024262
LBN Legal business name Professional Services Group, Inc.
DBA Doing business as
Authorized official Grapengieser, Jonathan PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Jun 16th, 2022 - about 2 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 1619024262 NPPES
Wisconsin MEDICAID 42125700

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