NPIMap

Organization Active NPI

Psychological & Counseling Services Inc

  • Clinical Psychologist
  • Racine, WI
National Provider Identifier
1477623643
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1758 Issued in WI
Legal business name
PSYCHOLOGICAL & COUNSELING SERVICES INC
Practice address
6929 Mariner Dr Unit D
Racine, WI 53406-3938
Phone
(414) 571-9484
Fax
(414) 571-9648
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Ms. Barbara Jean Adamczak
Title
Clinic Manager
Phone
(414) 571-9484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 1758 WI Primary

Addresses

Primary practice location

6929 Mariner Dr Unit D
Racine, WI 53406-3938

Mailing address

PO Box 294
Oak Creek, WI 53154-0294
Phone (414) 571-9484

National Provider Directory

National Provider Directory

Locations

6929 Mariner Dr
Ste D
Mount Pleasant, WI 53406
Phone (262) 672-6614

8825 S Howell Ave
Ste 301
Oak Creek, WI 53154
Phone (414) 571-9484

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1477623643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531540294",
            "telephone_number": "414-571-9484",
            "fax_number": "414-571-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6929 MARINER DR UNIT D",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534063938",
            "telephone_number": "414-571-9484",
            "fax_number": "414-571-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL & COUNSELING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "ADAMCZAK",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "414-571-9484",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.