FAMILY PSYCHIATRIC CARE LLC NPI 1487178984

NPI Information

NPI: 1487178984
Provider Name: FAMILY PSYCHIATRIC CARE, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 52D2148454

Address:
1114 56TH ST
KENOSHA, WI
ZIP 53140
Phone: (920) 420-6333
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FAMILY PSYCHIATRIC CARE, LLC is a psychiatric/mental health nurse practitioner in Kenosha, WI. FAMILY PSYCHIATRIC CARE, LLC NPI is 1487178984. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1114 56TH ST
KENOSHA, WI
ZIP 53140-668
Phone: (920) 420-6333

The provider's authorized official is Alyssa M Skalitzky .
The authorized official title is Co-owner and has the following contact phone number (920) 420-6333.

The CLIA number assigned to this NPI record is 52D2148454 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	3667-033	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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