DRG Clinical, SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DRG CLINICAL, SC

Practice address

5703 Memorial CT
Weston, WI 54476-6502

Phone

(715) 204-9808

NPI assigned

Nov 3, 2022

Organization subpart

No

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

Authorized official

Name

Robert Gouthro, MDNPI 1285752089

Title

Owner

Phone

(715) 204-9808

Specialties & licenses 3

Addresses

Other names 1

• Weston Psychiatric Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Vincent Gouthro Jr., M.D.

  • Psychiatry Physician
  • Weston, WI
  • NPI 1285752089

  Psychiatry, WI

  Medicare reassignment Care Compare group NPD Authorized official
• Tina Marie Baeten, LCSW

  • Addiction (Substance Use Disorder) Counselor
  • Green Bay, WI
  • NPI 1386793248

  WI

  Medicare reassignment Care Compare group NPD
• Valorie Anne Helander, LCSW

  • Clinical Social Worker
  • Green Bay, WI
  • NPI 1699859843

  Clinical, WI

  Medicare reassignment Care Compare group NPD
• Trisha Stefonek, PSYD

  • Psychologist
  • Weston, WI
  • NPI 1376764134

  Marriage & Family Therapist, WI

  Medicare reassignment Care Compare group NPD
• Heidi K Warmbold, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Weston, WI
  • NPI 1285886531

  Multi-Specialty, WI

  Medicare reassignment Care Compare group NPD
• David Winemiller, PHD

  • Psychologist
  • Marshfield, WI
  • NPI 1659472470

  WI

  Medicare reassignment Care Compare group NPD
• Lisa Gouthro, APSW

  • Registered Nurse
  • Weston, WI
  • NPI 1265568968
  NPD

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1255048633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 MEMORIAL CT",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544766502",
            "telephone_number": "715-204-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5703 MEMORIAL CT",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544766502",
            "telephone_number": "715-204-9808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2941 S Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543045517",
            "country_code": "US",
            "telephone_number": "715-204-9808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6307 Schofield Ave",
            "address_purpose": "LOCATION",
            "city": "Schofield",
            "state": "WI",
            "postal_code": "544764352",
            "country_code": "US",
            "telephone_number": "715-204-9808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DRG CLINICAL, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "GOUTHRO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-204-9808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weston Psychiatric",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Weston Psychiatric",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas P Doering, DO
• Michael J Dombrowski, PA
• Dr. David Macintyre Consulting, LLC
• Reva R Draeger, D.C.
• Eric E Drewek, PT
• Addison Ross Dunham, DDS
• Warren R. Dunn, MD
• Glenn Dym, M.D.
• Mark D Earll, MD
• Patrick Gordon Earll, PAC

• All providers in Weston, WI
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.