Transitional Living Services, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

TRANSITIONAL LIVING SERVICES, INC

Practice address

3710 Douglas Ave
Racine, WI 53402-3227

Phone

(262) 639-8084

Fax

(262) 639-8086

NPI assigned

Jun 15, 2006

Last updated

Feb 19, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

TRANSITIONAL LIVING SERVICES, INCAs reported in NPPES

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

Authorized official

Name

Robert E Wrenn

Title

President and Ceo

Phone

(414) 476-9631

Specialties & licenses 6

Addresses

Other identifiers 2

Part of

Trans Living Serv Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Transitional Living Services, Inc

  • Community/Behavioral Health Agency
  • Racine, WI
  • NPI 1831381839
  NPPES parent name

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1457395212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 S 70TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532143164",
            "telephone_number": "414-476-9675",
            "fax_number": "414-615-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 DOUGLAS AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534023227",
            "telephone_number": "262-639-8084",
            "fax_number": "262-639-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONAL LIVING SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRANSITIONAL LIVING SERVICES, INC",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "WRENN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "414-476-9631"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42219500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B",
            "identifier": "DD9253",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael R Torhorst, RPH
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• Kaye Anne Tradewell, PTA
• Transitional Living Services, Inc
• Transitional Living Services, Inc
• Kristine Elizabeth Trayser, M.A. CCC/SLP
• Trex Transportation LLC
• Ashley Trussell
• Tungseth Psychotherapy Clinic LLC

• Psychiatry Physician in Racine, WI
• Providers in Racine, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.