Individual provider Active NPI

Caroline Poirier, M.D.

  • Psychiatry Physician
  • Manitowoc, WI
National Provider Identifier
1750564266
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
52885 Issued in WI
Practice address
926 S 8TH St
Manitowoc, WI 54220-4535
Phone
(920) 683-4230
Fax
(920) 683-4243
NPI assigned
Dec 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 52885 WI Primary

Addresses

Primary practice location

926 S 8TH St
Manitowoc, WI 54220-4535

Mailing address

926 S 8TH St
Manitowoc, WI 54220-4535
Phone (920) 683-4230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111202000264 WI Practitioner - Psychiatry 3678656154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calumet CountyGroup PAC ID 1254347586, 3 clinicians

Practice addresses (Care Compare)

206 Court St
Chilton, WI 53014-1127
Phone 92084914004045

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52885WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Calumet County CurrentSince Dec 11, 2023 Accepting new patients
Calumet County Current Accepting new patients
Calumet County CurrentSince Dec 11, 2023 Accepting new patients
Calumet County Past Accepting new patients
New Directions Mental Health, PC Psychiatry Past Accepting new patients

Locations

206 Court St
Chilton, WI 53014
Phone (920) 849-1400

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1750564266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 S 8TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204535",
            "telephone_number": "920-683-4230",
            "fax_number": "920-683-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 S 8TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204535",
            "telephone_number": "920-683-4230",
            "fax_number": "920-683-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POIRIER",
        "first_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-07",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "52885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitowoc, WI

Sources for this page

Verify at the official NPI Registry.