Cedar Point Mental Health LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CEDAR POINT MENTAL HEALTH LLC

Practice address

4633 Washington Rd
Kenosha, WI 53144-4220

Phone

(866) 604-6920

NPI assigned

Aug 12, 2026

Organization subpart

No

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

Authorized official

Name

Benjamin Goldman

Title

Chief Executive Officer

Phone

(262) 624-1950

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1786492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1972428555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 WASHINGTON RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531444220",
            "telephone_number": "866-604-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 WASHINGTON RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531444220",
            "telephone_number": "866-604-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR POINT MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "262-624-1950"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Bressy Cashmore, DC, CCN
• Payton Cierra Casper
• Samantha Nichole Cassity
• Nicolas Castaneda, APRN, CNP
• Olivera Catic, FNP-BC, APNP
• Mark Paul Celebre, R.PH.
• Jasjot Chahil, DDS
• Amy Champlin
• Vanessa Q Chang, MD
• Kelly Ann Chansky, OTR

• Adult Mental Health Clinic/Center in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Adult Mental Health Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.