Organization Active NPI

TCG Holdings 14, LLC

  • Adult Mental Health Clinic/Center
  • Port Washington, WI
National Provider Identifier
1891149928
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
TCG HOLDINGS 14, LLC
Practice address
127 N Franklin St Ste 206
Port Washington, WI 53074-1948
Phone
(262) 290-4272
Fax
(262) 268-0775
NPI assigned
Apr 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Authorized official

Name
Mr. Charles Pfrang
Title
Administrator
Phone
(262) 689-2523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

127 N Franklin St Ste 206
Port Washington, WI 53074-1948

Mailing address

127 N Franklin St Ste 206
Port Washington, WI 53074-1948
Phone (262) 290-4272

Other names 1

  • Total Care Group Doing business as

National Provider Directory

National Provider Directory

Locations

127 N Franklin St
Ste 206
Port Washington, WI 53074
Phone (262) 235-4385

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1891149928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N FRANKLIN ST STE 206",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741948",
            "telephone_number": "262-290-4272",
            "fax_number": "262-268-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N FRANKLIN ST STE 206",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741948",
            "telephone_number": "262-290-4272",
            "fax_number": "262-268-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCG HOLDINGS 14, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "PFRANG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "262-689-2523",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Care Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Washington, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.