Active NPI
Bell Therapy Associates
- Community/Behavioral Health Agency
- Kenosha, WI
National Provider Identifier
1841514916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1102
- Legal business name
- BELL THERAPY ASSOCIATES
- Practice address
- 5500 8TH Ave
Kenosha, WI 53140-3700 - Phone
- (262) 564-0067
- Fax
- (262) 652-1411
- NPI assigned
- Mar 18, 2010
- Last updated
- Mar 18, 2010
- Organization subpart
- Yes
- Parent organization
- BELWOOD LTD./BELL THERAPY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald Mendyke, MSW, LCSW
- Title
- Clinical Director
- Phone
- (414) 527-6940
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 1102 | WI | Primary |
Addresses
Primary practice location
5500 8TH Ave
Kenosha, WI 53140-3700
Mailing address
5500 8TH Ave
Kenosha, WI 53140-3700
Phone (262) 564-0067
National Provider Directory
National Provider Directory- Tax ID family
- Bell Therapy Inc CSP South
- Part of
- Bell Therapy Inc CSP South
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268870400000",
"number": "1841514916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 8TH AVE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531403700",
"telephone_number": "262-564-0067",
"fax_number": "262-652-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 8TH AVE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531403700",
"telephone_number": "262-564-0067",
"fax_number": "262-652-1411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELL THERAPY ASSOCIATES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BELWOOD LTD./BELL THERAPY",
"enumeration_date": "2010-03-18",
"last_updated": "2010-03-18",
"status": "A",
"authorized_official_last_name": "MENDYKE",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "414-527-6940",
"authorized_official_credential": "MSW, LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WI",
"license": "1102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.