NPIMap

Organization Active NPI

Bellin Psychiatric Center Inc

Doing business as Bellin Behavior Health Sturgeon Bay

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sturgeon Bay, WI
National Provider Identifier
1780125476
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BELLIN PSYCHIATRIC CENTER INC
Doing business as
Bellin Behavior Health Sturgeon Bay
Bellin Behavior Heatlh-Sturgeon Bay
Practice address
311 N 3Rd Ave
Sturgeon Bay, WI 54235-2401
Phone
(920) 433-6073
Fax
(920) 437-0533
NPI assigned
Mar 14, 2017
Last updated
Jul 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Authorized official

Name
Denise K Stroobants
Title
Credentialing Specialist
Phone
(920) 445-7226

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

311 N 3Rd Ave
Sturgeon Bay, WI 54235-2401

Mailing address

PO Box 22040
Green Bay, WI 54305-2040
Phone (920) 433-6073

Other names 2

  • Bellin Behavior Health Sturgeon Bay Doing business as
  • Bellin Behavior Heatlh-Sturgeon Bay Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2098782Bellin Health Sturgeon Bay311 N 3Rd Ave, Sturgeon Bay, WI 54235Certificate of waiverDec 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bellin Psychiatric Center9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1780125476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22040",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052040",
            "telephone_number": "920-433-6073",
            "fax_number": "920-437-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N 3RD AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542352401",
            "telephone_number": "920-433-6073",
            "fax_number": "920-437-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLIN PSYCHIATRIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "STROOBANTS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "920-445-7226"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellin Behavior Health Sturgeon Bay",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellin Behavior Heatlh-Sturgeon Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sturgeon Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.