Psychosocial Services LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PSYCHOSOCIAL SERVICES LLC

Practice address

1661 N Water St Ste 308
Milwaukee, WI 53202-2086

Phone

(906) 396-1040

NPI assigned

Nov 8, 2022

Organization subpart

No

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

Authorized official

Name

Samantha Hurkmans, PSY

Title

Owner

Phone

(906) 396-1040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1184332280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 N WATER ST STE 308",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022086",
            "telephone_number": "906-396-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 N WATER ST STE 308",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022086",
            "telephone_number": "906-396-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOSOCIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "HURKMANS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-396-1040",
        "authorized_official_credential": "PSY"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael J Ptacin, MD
• Kathleen E Puca, MD
• Jorge Tadeo Puchol Castillo, MD, PHD
• Lindsay L Puckett, M.D.

• Psychologist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.