Psychological Evaluation & Consulting Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PSYCHOLOGICAL EVALUATION & CONSULTING SERVICES

Practice address

1322 W Towne Square Rd
Mequon, WI 53092-5046

Phone

(262) 242-3810

NPI assigned

Mar 10, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Lawrence A Kane III, MSED

Title

Owner

Phone

(262) 242-3810

Specialties & licenses 1

Addresses

Other names 1

• WCMHCC Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1154629483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10532 N PORT WASHINGTON RD",
            "address_2": "STE 1B",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925563",
            "telephone_number": "262-242-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 W TOWNE SQUARE RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925046",
            "telephone_number": "262-242-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL EVALUATION & CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-242-3810",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WCMHCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pro Fitness & Rehab, SC
• Amy Prout, RD
• Morgan Provo, LPC-IT, MS
• Justyna Przychocka, APNP
• Psych Affiliates Inc
• James A Puerner, MD
• Thomas R. Puetz, M.D.
• Douglas E Puffer, M.D.
• Domenic J Pulito, M.D.
• Veronica K Pyatt, MS LPC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mequon, WI
• Providers in Mequon, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.