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Contact Information

PSYCHOLOGICAL CONSULATNTS S.C.
130 E. WALUNT STREET
604
GREEN BAY, WI54301
 Phone: 920-437-3854
 Fax: 920-437-7488
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PSYCHOLOGICAL CONSULATNTS S.C.

NPI # 1992920300
LBN Legal business name PSYCHOLOGICAL CONSULATNTS S.C.
Authorized official URSULA BERTRAND - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/13/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
WI License # 1042
WI License # 2463-057
WI Medicaid 42120100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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