Breyan Donath-Skeen

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8088-123 Issued in WI

Practice address

2680 Vernon Dr
Green Bay, WI 54304-5374

Phone

(920) 272-1200

NPI assigned

Nov 24, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of Wisconsin School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CCP Clinic LLCGroup PAC ID 7214394022, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.81 of 100Reported as apm

Quality

85.98

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CCP Clinic, LLC

  • Clinical Psychologist
  • De Pere, WI
  • NPI 1396431714
  Medicare reassignment Care Compare group NPD
• St Vincent Hospital-Hospital Sisters-Third Order of St Francis

  • General Practice Physician
  • Green Bay, WI
  • NPI 1285613638
  NPD
• Counseling and Consulting Professionals, LLC

  • Clinical Social Worker
  • Appleton, WI
  • NPI 1891391116
  NPD (past)
• Prevea Clinic, Inc.

  • Family Medicine Physician
  • Chippewa Falls, WI
  • NPI 1588110969
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1689004830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 VERNON DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045374",
            "telephone_number": "920-272-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 VERNON DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045374",
            "telephone_number": "920-272-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATH-SKEEN",
        "first_name": "BREYAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-24",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8088-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew James Dolan, PA-C
• Traci L Dolski, OTR
• Kenneth Dombrowski
• Carrie Dominiczak, SACIT
• Megan Domnick
• Sarah Beth Donovan, LPC
• Elizabeth Ann Doornink, APRN
• Paulette J Doperalski, CFA
• Deanna P Doraiswamy, OT
• Jolene Dorn, RDN

• Clinical Social Worker in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.