Pyramid Psychiatric Care, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PYRAMID PSYCHIATRIC CARE, LLC

Practice address

2475 University Ave Ste a
Green Bay, WI 54302-5099

Phone

(920) 632-2248

Fax

(920) 351-4826

NPI assigned

May 22, 2018

Organization subpart

No

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

Authorized official

Name

Andrew Todd Brocker

Title

Facility Director

Phone

(920) 632-2248

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1295226512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 UNIVERSITY AVE STE A",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543025099",
            "telephone_number": "920-632-2248",
            "fax_number": "920-351-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 UNIVERSITY AVE STE A",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543025099",
            "telephone_number": "920-632-2248",
            "fax_number": "920-351-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYRAMID PSYCHIATRIC CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "BROCKER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "920-632-2248"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Torri L Pulley, SLP
• Lois A Pulvermacher, LCSW
• Royces Pamintuan Puno, MD
• Brandon Michael Puser, DPT
• Krystina L Putnam, APNP
• Fatima Qamar, MD, MPH
• Qamaruddin Qazi, MD
• Quality Addiction Management Inc
• Quality Chiropractic & Stress Reduction Center, S.C.
• Scott Nicholas Quandt

• Psychiatry Physician in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.