Psych Affiliates Inc
LBN: Psych Affiliates Inc
Psych Affiliates Inc is an health care organization with primary practice located at 11431 N Port Washington Rd Ste 101B , Mequon WI 53092-3463. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty.
Psych Affiliates Inc can be contacted via phone (414) 502-7216, or through Kochanik, Dennis Lee via phone (414) 502-7216.
Contact Information
Primary practice address
11431 N Port Washington Rd Ste 101B
Mequon WI 53092-3463
Phone: (414) 502-7216
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
| NPI number | 1417605197 |
|---|---|
| LBN Legal business name | Psych Affiliates Inc |
| DBA Doing business as | |
| Authorized official | Kochanik, Dennis Lee |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 12th, 2022 |
| Last updated | Feb 5th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417605197 | NPPES |
| Wisconsin | MEDICAID | 100190462 |
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