NPIMap

Organization Active NPI

Bellin Psychiatric Center Inc

Doing business as Bellin Behavior Health - Peshtigo

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Peshtigo, WI
National Provider Identifier
1235192873
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BELLIN PSYCHIATRIC CENTER INC
Doing business as
Bellin Behavior Health - Peshtigo
Practice address
441 French St
Peshtigo, WI 54157-1203
Phone
(715) 582-9949
NPI assigned
Apr 6, 2006
Last updated
Jul 10, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
BELLIN PSYCHIATRIC CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Authorized official

Name
Denise K Stroobants
Title
Credentialing Specialist
Phone
(920) 445-7226

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Psychiatry Physician 2084P0800X

Addresses

Primary practice location

441 French St
Peshtigo, WI 54157-1203

Mailing address

441 French St
Peshtigo, WI 54157-1203
Phone (715) 582-9949

Other names 1

  • BELLIN BEHAVIOR HEALTH - PESHTIGO Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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…

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory
Part of
Bellin Psychiatric CNTR

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1235192873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 FRENCH ST",
            "city": "PESHTIGO",
            "state": "WI",
            "postal_code": "541571203",
            "telephone_number": "715-582-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 FRENCH ST",
            "city": "PESHTIGO",
            "state": "WI",
            "postal_code": "541571203",
            "telephone_number": "715-582-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLIN PSYCHIATRIC CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BELLIN PSYCHIATRIC CENTER INC",
        "enumeration_date": "2006-04-06",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "STROOBANTS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "920-445-7226"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELLIN BEHAVIOR HEALTH - PESHTIGO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BELLIN BEHAVIOR HEALTH - PESHTIGO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peshtigo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.