NPIMap

Organization Active NPI

Bell Therapy CSP

  • Adult Psychiatric/Mental Health Registered Nurse
  • Kenosha, WI
National Provider Identifier
1043344146
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
148570030 Issued in WI
Legal business name
BELL THERAPY CSP
Practice address
5500 8TH Ave
Kenosha, WI 53140-3700
Phone
(262) 564-0067
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sherilyn Catherine De Fazio, RN
Title
Nurse
Phone
(262) 564-0067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0809X 148570030 WI Primary

Addresses

Primary practice location

5500 8TH Ave
Kenosha, WI 53140-3700

Mailing address

3324 County Line Rd
Racine, WI 53403-9704
Phone (262) 552-7311

Other names 1

  • Phoenix Care Systems Other name

National Provider Directory

National Provider Directory
Tax ID family
Bell Therapy - Sheridan Group Home58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043344146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 COUNTY LINE RD",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534039704",
            "telephone_number": "262-552-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 8TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403700",
            "telephone_number": "262-564-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELL THERAPY CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE FAZIO",
        "authorized_official_first_name": "SHERILYN",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "262-564-0067",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "WI",
            "license": "148570030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Care Systems",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.