NPIMap

Organization Active NPI

Bellin Psychiatric Center Inc.

Doing business as Bellin Behavior Health - Daggett

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Daggett, MI
National Provider Identifier
1497225775
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 - Daggett
Practice address
106 S School Rd
Daggett, MI 49821-8555
Phone
(906) 753-2812
Fax
(906) 753-2716
NPI assigned
Nov 29, 2018
Last updated
Jul 10, 2019By the provider in NPPES
Organization subpart
No

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

Addresses

Primary practice location

106 S School Rd
Daggett, MI 49821-8555

Mailing address

PO Box 22040
Green Bay, WI 54305-2040
Phone (920) 445-7222

Other names 1

  • Bellin Behavior Health - Daggett Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bellin Psychiatric CNT9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1497225775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22040",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052040",
            "telephone_number": "920-445-7222",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S SCHOOL RD",
            "city": "DAGGETT",
            "state": "MI",
            "postal_code": "498218555",
            "telephone_number": "906-753-2812",
            "fax_number": "906-753-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLIN PSYCHIATRIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "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": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellin Behavior Health - Daggett",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellin Behavior Health - Daggett",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daggett, MI

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.