Provider Demographics
NPI:1104861210
Name:TURCOTT MEDICAL AND PSYCHIATRIC ASSOCIATES, S.C.
Entity Type:Organization
Organization Name:TURCOTT MEDICAL AND PSYCHIATRIC ASSOCIATES, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:TURCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-258-5704
Mailing Address - Street 1:2600 N MAYFAIR RD
Mailing Address - Street 2:SUITE 785
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-1309
Mailing Address - Country:US
Mailing Address - Phone:414-258-5704
Mailing Address - Fax:414-258-8406
Practice Address - Street 1:2600 N MAYFAIR RD
Practice Address - Street 2:SUITE 785
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-1309
Practice Address - Country:US
Practice Address - Phone:414-258-5704
Practice Address - Fax:414-258-8406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2417101YM0800X
WI2573101YM0800X
WI1218103T00000X
WI18327207R00000X
WI186902084P0800X
WI449590202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI42144600Medicaid