Bellin Psychiatric Center Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Oconto, WI
NPI 1609050798 · NPPES record last updated Jul 10, 2019
Key facts
- NPI
- 1609050798
- 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
- 820 Arbutus Ave
Oconto, WI 54153 - Phone
- (920) 835-5500
- Fax
- (920) 835-5510
- NPI assigned
- Dec 26, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- BELLIN PSYCHIATRIC CENTER INC
Authorized official
- Name
- Denise K Stroobants
- Title
- Provider/Clinic Credentialing
- Phone
- (920) 445-7226
Other NPIs on the same Medicare enrollment 15
Practitioners 2
-
Tiffany Lynn Born, PH.D
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
820 Arbutus Ave
Oconto, WI 54153
Mailing address
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-5500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2759 | Other | WI | WI STATE CERTIFICATION |
Other names
- BELLIN BEHAVIOR HEALTH BOND HEALTH CENTER INC
- Bellin Behavior Health
Other providers in Oconto, WI
- Bay at Oconto Health and Rehabilitation Center LLC
- Baycare Clinic, LLP
- Bayshore Chiropractic, S.C.
- Bellin Health Oconto Clinic
- Bellin Memorial Hospital Inc
- Denise Lynn Belongia
- Benzer Wi 1 LLC
- Tiffany Berth
- Jacob Norbert Bloch
- Ashley Boldt
All providers in Oconto, 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.