Bellin Psychiatric Center Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · De Pere, WI
NPI 1669434288 · NPPES record last updated Jul 10, 2019
Key facts
- NPI
- 1669434288
- 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
- 1800 Lawrence Dr
De Pere, WI 54115-9108 - 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 2
-
Danielle M Evenson, LCSW
-
Naciye Kalafat, M.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 |
|---|---|---|---|---|
| Social Worker |
104100000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
1800 Lawrence Dr
De Pere, WI 54115-9108
Mailing address
1800 Lawrence Dr
De Pere, WI 54115-9108
Phone (920) 433-3630
Other names
- BELLIN BEHAVIORAL HEALTH-DEPERE
Other providers in De Pere, WI
- 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
- Jennifer Cara Berndt
All providers in De Pere, 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.