# Affect Provider Group P.s.c.

- **NPI:** 1114809274
- **NPI Type:** Organization
- **Status:** Active
- **Enumeration date:** 2025-07-21
- **Last updated:** 2025-07-21
- **Practice address:** 2385 S 179th St Ste C, New Berlin, WI 53146-2130
- **Mailing address:** 1640 Boro Pl Fl 4, Mc Lean, VA 22102-3627
- **Phone:** 845-769-8758

## Taxonomy

| Code | Description | License | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Counselor, Professional |  |  | No |
| 1041C0700X | Social Worker, Clinical |  |  | No |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health |  |  | No |
| 101YM0800X | Counselor, Mental Health |  |  | Yes |

## Provider directory

- [Counselors in Wisconsin](https://www.verifytx.com/npi-lookup/taxonomy/counselor/WI/)
- [Psychologists in Wisconsin](https://www.verifytx.com/npi-lookup/taxonomy/psychologist/WI/)
- [Substance use rehabilitation facilities in Wisconsin](https://www.verifytx.com/npi-lookup/taxonomy/substance-abuse-rehabilitation-facility/WI/)
- [Psychiatric hospitals in Wisconsin](https://www.verifytx.com/npi-lookup/taxonomy/psychiatric-hospital/WI/)
- [Psychiatric residential treatment facilities in Wisconsin](https://www.verifytx.com/npi-lookup/taxonomy/psychiatric-residential-treatment-facility/WI/)
- [Skilled nursing facilities in Wisconsin](https://www.verifytx.com/npi-lookup/taxonomy/skilled-nursing-facility/WI/)

## Data Notice:

The information provided by VerifyTreatment (VerifyTX) is sourced from the publicly available NPPES database, in accordance with the NPPES Data Dissemination Notice, Freedom of Information Act (FOIA), and e-FOIA amendments. Data is offered “as is” without warranty as to accuracy or reliability. For official NPI assistance, contact the NPI Enumerator at (800) 465-3203 or P.O. Box 6059, Fargo, ND 58108.

---

Canonical: https://www.verifytx.com/npi-lookup/npis/1114809274/