Bellin Psychiatric Center Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Algoma, WI
NPI 1124438478 · NPPES record last updated Jul 10, 2019
Key facts
- NPI
- 1124438478
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- BELLIN PSYCHIATRIC CENTER INC
- Practice address
- 831 Parker St
Algoma, WI 54201-0185 - Phone
- (920) 433-3630
- Fax
- (920) 437-0533
- NPI assigned
- May 7, 2014
- Organization subpart
- No
Authorized official
- Name
- Denise K Stroobants
- Title
- Credentialing Specialist
- Phone
- (920) 445-7226
Other NPIs on the same Medicare enrollment 15
Practitioners 3
-
Erika Susanne Mangin, RN, APN, PMHNP-BC
-
Victoria Passov, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031212000884 | WI | Part B Supplier - Clinic/Group Practice | 4486551058 |
Receives reassigned benefits from 107 practitioners 15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wrightstown, WI; Sturgeon Bay, WI; Pulaski, WI; Oconto Falls, WI; Oconto, WI; Manitowoc, WI; Kewaunee, WI; Green Bay, WI… |
National Provider Directory
Locations
831 Parker Ave
Algoma, WI 54201
Phone (920) 487-3084
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Mental Health Counselor |
101YM0800X | |||
| Psychiatry Physician |
2084P0800X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes | ||
| Adult Psychiatric/Mental Health Clinical Nurse Specialist |
364SP0809X |
Addresses
Primary practice location
831 Parker St
Algoma, WI 54201-0185
Mailing address
831 Parker St
Algoma, WI 54201-0185
Phone (920) 433-3630
Other names
- Bellin Behavior Health Algoma
Other providers in Algoma, WI
- Algoma Hometown Pharmacy LLC
- Algoma Lakeview Dental Care, S.C.
- Algoma Medical Center
- Aurora Pharmacy Inc
- Bellin Memorial Hospital Inc
- William F Bluett
- Allycia E Bretl
- Melissa A Brockman
- C & P Oaks Algoma LLC
- City of Algoma
All providers in Algoma, WI · Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.