Wisconsin Psychology Associates, Llc

LBN: Wisconsin Psychology Associates, Llc
Wisconsin Psychology Associates, Llc is an health care organization with primary practice located at 318 Margaret Ct , Burlington WI 53105-2330. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Health Service is the primary health care specialty. Wisconsin Psychology Associates, Llc can be contacted via phone (812) 201-3912, or through Fernandez, Rosita via phone (812) 201-3912.

Contact Information

Primary practice address
318 Margaret Ct Burlington WI 53105-2330
Phone: (812) 201-3912
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fernandez, Rosita PSYD
Phone: (812) 201-3912

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Health Service 103TH0100X

Profile Details

NPI number 1639830151
LBN Legal business name Wisconsin Psychology Associates, Llc
DBA Doing business as
Authorized official Fernandez, Rosita PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2022
Last updated Feb 9th, 2022 - about 3 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 1639830151 NPPES
Indiana MEDICAID 300007198IN
Indiana MEDICAID 1376062851

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