Trillium Care Group LLC
NPI 1477629640ActiveOrganization· Psychologist· Elm Grove, WI
Psychologist in Elm Grove, Wisconsin, registered in NPPES in November 2006. The authorized official on file is Teresa C. Ortiz, LCSW, Clinical Director Psychotherapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477629640 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 28, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 2564 | WI |
| Social Worker, Clinical | 1041C0700X | 2564 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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