NPIMap

Organization Active NPI

Mental Health Partners, SC

  • Adult Mental Health Clinic/Center
  • Green Bay, WI
National Provider Identifier
1750460929
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MENTAL HEALTH PARTNERS, SC
Practice address
3000 Riverside Dr
Suite 180
Green Bay, WI 54301-1653
Phone
(920) 632-7040
Fax
(920) 632-7262
NPI assigned
Nov 6, 2006
Last updated
Nov 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Ms. Kim L Slamp
Title
Office Manager
Phone
(920) 632-7040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

3000 Riverside Dr
Suite 180
Green Bay, WI 54301-1653

Mailing address

3000 Riverside Dr
Suite 180
Green Bay, WI 54301-1653
Phone (920) 632-7040

Other names 1

  • Marriage & Family Therapy Center, SC Former legal business name

National Provider Directory

National Provider Directory

Locations

3000 Riverside Dr
#180
Green Bay, WI 54301
Phone (920) 632-7040

3000 Riverside Dr
Ste 180
Green Bay, WI 54301
Phone (920) 632-7040

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1750460929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 RIVERSIDE DR",
            "address_2": "SUITE 180",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543011653",
            "telephone_number": "920-632-7040",
            "fax_number": "920-632-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 RIVERSIDE DR",
            "address_2": "SUITE 180",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543011653",
            "telephone_number": "920-632-7040",
            "fax_number": "920-632-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH PARTNERS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "SLAMP",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "920-632-7040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marriage & Family Therapy Center, SC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.