# TOSA PSYCHOLOGICAL SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164256038
- **Authorized official:** DR. DOMENICK TIRABASSI IV PSYD (OWNER)
- **Authorized official phone:** (414) 377-4787

## Contact information

- **Practice address:** 9205 W CENTER ST STE 203, MILWAUKEE, WI 53222-4548
- **Practice address phone:** (414) 522-7899
- **Mailing address:** 9205 W CENTER ST STE 203, MILWAUKEE, WI 53222-4548
- **Mailing address phone:** (414) 377-4787
- **Mailing address fax:** (866) 643-0083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | NULL | Yes |
| 103TC0700X | Clinical Psychologist | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2024
- **Last updated:** 08/21/2026