Affiliated Clinical Services Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

AFFILIATED CLINICAL SERVICES INC

Practice address

111 E Washington St
West Bend, WI 53095-2571

Phone

(262) 338-2717

Fax

(262) 338-9767

NPI assigned

Oct 20, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelli Feucht

Title

Assistant Business Manager

Phone

(262) 338-2717

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 102

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ariana Anderson

  • Professional Counselor
  • West Bend, WI
  • NPI 1497352074
  Medicare reassignment Care Compare group NPD
• Daniel Baranek

  • Professional Counselor
  • West Bend, WI
  • NPI 1073125035
  Medicare reassignment Care Compare group NPD
• Everest Cameron Brooks, LCSW

  • Clinical Social Worker
  • Elm Grove, WI
  • NPI 1184631624
  Medicare reassignment Care Compare group NPD
• Jesen Daniel

  • Professional Counselor
  • West Bend, WI
  • NPI 1508230632
  Medicare reassignment Care Compare group NPD
• Tiffany Dubey, LCSW, SAC-IT

  • Clinical Social Worker
  • West Bend, WI
  • NPI 1013612217
  Medicare reassignment Care Compare group NPD
• Sean Patrick Fauls, MS, LPC

  • Professional Counselor
  • Elkhorn, WI
  • NPI 1750490264
  Medicare reassignment Care Compare group NPD
• James Kevin Giese, PHD

  • Addiction (Substance Use Disorder) Psychologist
  • West Bend, WI
  • NPI 1417057555
  Medicare reassignment Care Compare group NPD
• Craig A Groskreutz, MS, LPC

  • Psychologist
  • West Bend, WI
  • NPI 1376015701
  Medicare reassignment Care Compare group NPD
• Anna Rae Kitowicz, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sun Prairie, WI
  • NPI 1205604196
  Medicare reassignment Care Compare group NPD
• Jenna Koch, M.S., LPC

  • Professional Counselor
  • Waukesha, WI
  • NPI 1609450352
  Medicare reassignment Care Compare group NPD
• Rajesh Kumar, MD

  • Psychiatry Physician
  • West Bend, WI
  • NPI 1194800557
  Medicare reassignment Care Compare group NPD
• David M McMahon, DO

  • Psychiatry Physician
  • Green Bay, WI
  • NPI 1457662249
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851473698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E WASHINGTON ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530952571",
            "telephone_number": "262-338-2717",
            "fax_number": "262-338-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E WASHINGTON ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530952571",
            "telephone_number": "262-338-2717",
            "fax_number": "262-338-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED CLINICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FEUCHT",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "ASSISTANT BUSINESS MANAGER",
        "authorized_official_telephone_number": "262-338-2717"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanise Adams
• Adrc of Washington County
• Advanced Focus Eyecare LLC
• Advanced Pain Management SC
• Aegis Group Practice LLC
• Sophie Alberts, PT
• Samuel Albiero
• James A. Albrecht, D.D.S.
• Roxanna Aldstadt
• Daniela Aleman, MD

• Multi-Specialty Clinic/Center in West Bend, WI
• Providers in West Bend, WI by specialty
• Multi-Specialty Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.