COMMUNITY PSYCHOLOGICAL SERVICES OF WAUPUN LLC
NPI 1225138126
Clinic/Center - Mental Health (Including Community Mental Health Center) in Waupun, WI

Active since September 22, 2006
1208 S WATERTOWN ST, WAUPUN, WI 53963(920) 324-4358 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Psychological Services Of Waupun Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY PSYCHOLOGICAL SERVICES OF WAUPUN LLC (NPI 1225138126) is a healthcare organization registered as a mental health (including community mental health center) in Waupun, Wisconsin and active in the NPI registry since September 2006. The organization lists Robert Norman Deyoung, Psychologist Co-owner, as its authorized official.

NPPES Registry Identity

NPI1225138126
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCOMMUNITY PSYCHOLOGICAL SERVICES OF WAUPUN LLC
Location Address1208 S WATERTOWN STWaupun, WI 53963-2309
Mailing Address1208 S Watertown StWaupun, WI 53963-2309 · (920) 324-4358 · Fax (920) 324-4737
Organization SubpartNo
Authorized OfficialRobert Norman DeyoungPsychologist Co-owner · (920) 324-4358
Enumeration DateSeptember 22, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1225138126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License Licensed in WI · 1228
1208 S WATERTOWN ST, Waupun, WI 53963

Other Identifiers 1

Medicaid42127800WI

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
1208 S WATERTOWN ST
WAUPUN, WI 53963

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Psychological Services Of Waupun LLC's NPI number?

The NPI number for Community Psychological Services Of Waupun LLC is 1225138126. It was assigned to this organization in the NPPES registry on September 22, 2006.

Where is Community Psychological Services Of Waupun LLC located?

Community Psychological Services Of Waupun LLC is located at 1208 S Watertown St, Waupun, WI 53963. The listed phone number is (920) 324-4358.

What is Community Psychological Services Of Waupun LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Community Psychological Services Of Waupun LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.