Coulee Region Psychiatric Services, S.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

37852-020 Issued in WI

Legal business name

COULEE REGION PSYCHIATRIC SERVICES, S.C.

Practice address

3626 East Ave. So.
Suite 2a
La Crosse, WI 54601-7211

Phone

(608) 788-1114

Fax

(608) 788-1147

NPI assigned

May 6, 2009

Last updated

May 6, 2009By 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

Thomas J. Trannel, M.D.

Title

President

Phone

(608) 797-6284

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1881828846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 3RD AVE. N.",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546509130",
            "telephone_number": "608-797-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 EAST AVE. SO.",
            "address_2": "SUITE 2A",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546017211",
            "telephone_number": "608-788-1114",
            "fax_number": "608-788-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COULEE REGION PSYCHIATRIC SERVICES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "TRANNEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-797-6284",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "37852-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.