Racine Psychological Services, Inc.

LBN: Racine Psychological Services, Inc.
Racine Psychological Services, Inc. is an health care organization with primary practice located at 840 Lake Ave Suite 101, Racine WI 53403-1566. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Racine Psychological Services, Inc. can be contacted via phone (262) 634-8688, or through Whitmore, Mary Jane via phone (262) 634-8688.

Contact Information

Primary practice address
840 Lake Ave Suite 101 Racine WI 53403-1566
Phone: (262) 634-8688
Fax: (262) 634-7547
Website:
Map and Directions
Authorized official contact:
Name: Whitmore, Mary Jane LCSW, CSAC
Phone: (262) 634-8688

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 2220 Wisconsin

Profile Details

NPI number 1275586323
LBN Legal business name Racine Psychological Services, Inc.
DBA Doing business as
Authorized official Whitmore, Mary Jane LCSW, CSAC
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Apr 20th, 2008 - about 16 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 1275586323 NPPES
Wisconsin MEDICAID 42216900

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