Bellin Psychiatric Center Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Green Bay, WI
NPI 1497318489 · NPPES record last updated Jul 10, 2019
Key facts
- NPI
- 1497318489
- 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
- 1970 S Ridge Rd
Green Bay, WI 54304-4125 - Phone
- (920) 433-6073
- Fax
- (920) 437-0533
- NPI assigned
- Apr 16, 2019
- Organization subpart
- No
Authorized official
- Name
- Denise K Stroobants
- Title
- Credentialing Specialist
- Phone
- (920) 445-7226
Corporate family (same tax ID) 8
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2132646 | Bellin Health Titletown | Compliance | Apr 9, 2028 |
National Provider Directory
- Tax ID family
- Bellin Psychiatric CNTR
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | |||
| Clinical Social Worker |
1041C0700X | |||
| Psychiatry Physician |
2084P0800X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes | ||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
1970 S Ridge Rd
Green Bay, WI 54304-4125
Mailing address
PO Box 22040
Green Bay, WI 54305-2040
Phone (920) 445-7222
Other names
- Bellin Behavior Health Titletown
Other providers in Green Bay, WI
- Bellin Memorial Hospital, Inc
- Bellin Memorial Hospital, Inc.
- Bellin Psychiatric Center
- Bellin Psychiatric Center Inc
- Bellin Psychiatric Center Inc
- Bellin Psychiatric Center Inc
- Bellin Psychiatric Center Inc
- Bellin Psychiatric Center Inc
- Bellin Psychiatric Center Inc
- Bellin Psychiatric Center Inc
All providers in Green Bay, 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 Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.