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Organization

Psychiatric Services of Racine, LLP

NPI Record: ActivePsychologist — Prescribing (Medical)
NPI1699791988
Sturtevant, Wisconsin

Provider's NPPES record last updated: March 27, 2018

Overview

Entity Type
Organization
NPI
1699791988
Primary Specialty
Psychologist — Prescribing (Medical)
Practice Location
Sturtevant, Wisconsin
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 3:41 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychologist

    Prescribing (Medical)

    Behavioral Health & Social Service Providers

    Primary

    A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

    Taxonomy code 103TP0016X

Provider-Reported License Information

Psychologist (Wisconsin)
1757
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

8700 Durand Ave Ste 600

Sturtevant, Wisconsin 53177-2096

Phone: (262) 635-5520

Additional Practice Location

1244 Wisconsin Ave Ste 303

Racine, Wisconsin 53403-1987

Phone: (262) 635-5520

Fax: (262) 635-5530

Record Information

Enumeration Date
July 14, 2006
Provider's NPPES Record Last Updated
March 27, 2018
NPISignal NPPES Dataset
August 2026

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