Active NPI
TCG Holdings 14, LLC
- Adult Mental Health Clinic/Center
- Port Washington, WI
National Provider Identifier
1891149928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.