Bellin Psychiatric Center Inc
Organization Active NPI Mental Health Counselor · De Pere, WI
NPI 1588025720 · NPPES record last updated Jul 10, 2019
Key facts
- NPI
- 1588025720
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- BELLIN PSYCHIATRIC CENTER INC
- Practice address
- 1325 Angels Path
De Pere, WI 54115-4050 - Phone
- (920) 433-3630
- Fax
- (920) 437-0533
- NPI assigned
- Mar 16, 2016
- Organization subpart
- No
Authorized official
- Name
- Denise K Stroobants
- Title
- Credentialing Specialist
- Phone
- (920) 445-7226
Other NPIs on the same Medicare enrollment 15
Practitioners 3
-
Tamara A Baldwin, APNP
-
Jesse Frederick Peterson, PSYD
-
Ashley Rae Sheeter, PSYD.
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Mental Health Counselor |
101YM0800X | Yes | ||
| Psychologist |
103T00000X | |||
| Social Worker |
104100000X | |||
| Clinical Social Worker |
1041C0700X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
1325 Angels Path
De Pere, WI 54115-4050
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7226
Other names
- Bellin Health Riverside Psychiatric Group
Other providers in De Pere, WI
- Christopher George Bechakas
- Bellin Memorial Hospital Inc
- Bellin Memorial Hospital Inc
- Bellin Memorial Hospital Inc
- Bellin Psychiatric Center Inc
- Bellin Psychiatric Center Inc
- Lauren Madison Bellin
- Theresa Marie Benedyk
- Megan E Berendes
- Samantha Berger
All providers in De Pere, WI · Mental Health Counselor 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.