Psychological Resource Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2806 Issued in WI

Legal business name

PSYCHOLOGICAL RESOURCE CENTER LLC

Practice address

1218 N 4TH St
Suite 108
Tomahawk, WI 54487-2152

Phone

(715) 224-2100

Fax

(715) 224-2106

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Laura Anne Elcoate

Title

Office Administrator

Phone

(715) 224-2100

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• James F Bitner, CSAC, ICS II

  • Addiction (Substance Use Disorder) Counselor
  • Tomahawk, WI
  • NPI 1548309941
  NPD (past)
• Elizabeth Kahn McCluskey, MS LPC

  • Counselor
  • Tomahawk, WI
  • NPI 1265572077
  NPD (past)
• Susan Elaine Cassatt, PHD, LP

  • Clinical Psychologist
  • Fargo, ND
  • NPI 1831379767
  NPD (past)

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234742400000",
    "number": "1497908099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 N 4TH ST",
            "address_2": "SUITE 108",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544872152",
            "telephone_number": "715-224-2100",
            "fax_number": "715-224-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 N 4TH ST",
            "address_2": "SUITE 108",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544872152",
            "telephone_number": "715-224-2100",
            "fax_number": "715-224-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL RESOURCE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2009-02-16",
        "status": "A",
        "authorized_official_last_name": "ELCOATE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "715-224-2100"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lee W Purdy, O.D.
• Reilly Dental, LLC
• Dewey Irving Reilly, DDS
• Dewey Nickels Reilly, DDS
• Michael Patrick Reilly, DDS

• Community/Behavioral Health Agency in Tomahawk, WI
• Providers in Tomahawk, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; 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.