Bellin Psychiatric Center Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Kewaunee, WI
NPI 1508829136 · NPPES record last updated Jul 10, 2019
Key facts
- NPI
- 1508829136
- 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
- 575 4TH St
Kewaunee, WI 54216-1785 - Phone
- (920) 433-3630
- NPI assigned
- Apr 6, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- BELLIN PSYCHIATRIC CENTER INC
Authorized official
- Name
- Denise K Stroobants
- Title
- Credentialing Specialist
- Phone
- (920) 445-7226
Other NPIs on the same Medicare enrollment 15
Practitioners 3
-
Lori Jo Eklund Walsh, LCSW,LPC,SAC
-
Kathleen A Lyons, APNP
-
Kari Lynn Mahlik, APNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
National Provider Directory
- Part of
- Bellin Psychiatric CNTR
Locations
575 4th St
Kewaunee, WI 54216
Phone (920) 388-4640
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
575 4TH St
Kewaunee, WI 54216-1785
Mailing address
575 4TH St
Kewaunee, WI 54216-1785
Phone (920) 433-3630
Other names
- BELLIN BEHAVIOR HEALTH - KEWAUNEE
Other providers in Kewaunee, WI
- Aurora Pharmacy Inc
- Sarah Ellen Bartel
- Bellin Memorial Hospital Inc
- Beyond Chiropractic LLC
- Laura Lee Borkovetz
- Brian D Sperber DDS LLC
- Angela Rachel Bultman
- Lisa Marie Burkart
All providers in Kewaunee, 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 Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.