TRANSITIONAL LIVING SERVICES, INC (NPI# 1457395212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457395212 |
| Entity Type | Organization |
| Organization Name | TRANSITIONAL LIVING SERVICES, INC |
| Practice Address |
3710 Douglas Ave Racine WI 53402-3227 |
| Mailing Address |
1040 S 70th St Milwaukee WI 53214-3164 |
| Practice Telephone | 2626398084 |
| Practice Fax Number | 2626398086 |
| Mailing Telephone | 4144769675 |
| Mailing Fax Number | 4146150627 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-02-19 |
| Authorized Official Name | ROBERT E WRENN (PRESIDENT AND CEO) |
| Authorized Official Telephone | 4144769631 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRANSITIONAL LIVING SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
Nursing Service Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42219500 | 05 | |
| WI | RAILROAD MEDICARE PART B | DD9253 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184923203 | Transitional Living Services, Inc | Community/Behavioral Health | 3710 Douglas Ave, Racine, WI 53402-3227 | 2011-03-16 |
| 1356570501 | Transitional Living Services, Inc | Community Based Residential Treatment Facility, Mental Illness | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2009-07-09 |
| 1851573836 | Transitional Living Services, Inc | Case Management | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2007-11-30 |
| 1831381839 | Transitional Living Services, Inc | Community/Behavioral Health | 3710 Douglas Ave, Racine, WI 53402-3227 | 2007-08-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | TRANSITIONAL LIVING SERVICES, INC. | 50629 Tumbleweed Tr., Granger, IN 46530 |
| Street Address |
3710 DOUGLAS AVE |
| City | RACINE |
| State | WI |
| Zip Code | 53402-3227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184923203 | Transitional Living Services, Inc | Community/Behavioral Health | 3710 Douglas Ave, Racine, WI 53402-3227 | 2011-03-16 |
| 1831381839 | Transitional Living Services, Inc | Community/Behavioral Health | 3710 Douglas Ave, Racine, WI 53402-3227 | 2007-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586847 | Jennifer Ann Wagener | Technician | 1513 Melvin Ave, Racine, WI 53402 | 2019-09-06 |
| 1023530490 | Tahir Vora | Pharmacist | 6840 Middle Rd Apt 8, Racine, WI 53402 | 2017-07-07 |
| 1154852069 | Golden Path Services | Home Health | 1700 North Main Street, Upper, Racine, WI 53402 | 2017-03-22 |
| 1376842690 | Vashir Jim Xiong | Acupuncturist | 3726 Ruby Ave, Racine, WI 53402 | 2011-03-25 |
| 1215248927 | Andrew M Asbury | Family Medicine | 2408 Four Mile Rd, Racine, WI 53402 | 2010-06-28 |
| 1215058532 | Lakeshore Family Dental Care Sc | Dentist | 3903 Douglas Ave, Racine, WI 53402 | 2007-04-03 |
| 1679626915 | David Ramon Reesman | Dentist | 3900 North Bay Dr, Racine, WI 53402 | 2007-01-19 |
| 1639286958 | Mary E Pagano | Internal Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-23 |
| 1881605111 | Caledonia Chiropractic Clinic, Sc | Chiropractor | 5401 Douglas Ave, Suite A, Racine, WI 53402 | 2006-08-11 |
| 1003923996 | David C Zablotney | Family Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-24 |
| Find all providers in zip 53402 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912981796 | Donald M Jacobson | Psychiatry & Neurology | 3701 Durand Ave, Suite 325, Racine, WI 53405-4458 | 2005-12-05 |
| 1043207806 | William James Bjerregaard | Psychiatry & Neurology | 1244 Wisconsin Ave, Suite 303, Racine, WI 53403-1987 | 2005-10-05 |
| 1881085793 | Horizon Healthcare, Inc. | Psychiatry & Neurology | 800 Goold St, Racine, WI 53402-4567 | 2015-02-13 |
| 1841619103 | Layla Dinkha | Psychiatry & Neurology | 1320 Wisconsin Ave, Racine, WI 53403 | 2014-04-15 |
| 1457554990 | Harbor Medical & Associates Sc | Psychiatry & Neurology | 4810 Northwestern Ave, Racine, WI 53406-1504 | 2007-06-11 |
| 1689895617 | Sarah Maudlin | Psychiatry & Neurology | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2007-05-01 |
| 1609888320 | Nancy Schell | Psychiatry & Neurology | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2006-08-12 |
| 1922038900 | Joseph Bergs | Psychiatry & Neurology | 3805b Spring St, Suite 240, Racine, WI 53405-1641 | 2006-07-04 |
| 1578525580 | Vahag Vartanian | Psychiatry & Neurology | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144844069 | Ania Fida | Psychiatry & Neurology | 1900 Westwood Dr, Wausau, WI 54401-7842 | 2020-06-05 |
| 1740764034 | New Frontiers Tms LLC | Psychiatry & Neurology | 2675 N Mayfair Rd Ste 400, Milwaukee, WI 53226-1305 | 2018-09-21 |
| 1912492398 | Heidi Ruth Wohlrabe | Psychiatry & Neurology | 1010 Franklin St, Wausau, WI 54403-5012 | 2018-06-27 |
| 1811494628 | Udoyen Health LLC | Psychiatry & Neurology | 1414 W Park Pl, Suite 202, Milwaukee, WI 53224 | 2018-04-09 |
| 1053811307 | Bret Reynolds | Psychiatry & Neurology | 2000 Progress Road, New Lisbon Correctional Institute-health Services Unit, New Lisbon, WI 53950 | 2018-02-13 |
| 1194223933 | Forefront-holbrook Medical Service Corporation | Psychiatry & Neurology | W315n7677 State Road 83 Unit 20, Hartland, WI 53029-9784 | 2018-01-26 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1790212603 | Imad Khan | Psychiatry & Neurology | Uw Hospitals & Clinics 600 Highland Avenue, Madison, WI 53792 | 2017-05-23 |
| 1275980799 | Pyrimad Psychiatric Services and Health Care Management Solutions | Psychiatry & Neurology | 2460 Prairie Flower Ln, De Pere, WI 54115-9373 | 2016-05-16 |
| 1659725497 | Chelsea Maria Sprick | Psychiatry & Neurology | 5000 W National Ave Fl 3, Milwaukee, WI 53295-3133 | 2016-04-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TRANSITIONAL LIVING SERVICES, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.