Active NPI
Sarah Elisabeth Baumgartner, PHD
- Psychologist
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3670-57
- Practice address
- 301 E Saint Joseph St
Green Bay, WI 54301-2241 - Phone
- (920) 433-6073
- Fax
- (920) 431-0333
- NPI assigned
- Sep 7, 2011
- Last updated
- Aug 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3670-57 | WI | Primary |
Addresses
Primary practice location
301 E Saint Joseph St
Green Bay, WI 54301-2241
Mailing address
PO Box 22040
Green Bay, WI 54305-2040
Phone (920) 445-7222
Other names 1
- Sarah Elisabeth Ellefson
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
933 Waube LN
Green Bay, WI 54304-5521
Phone (920) 548-9500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Psychiatric Center Inc | Current | Accepting new patients | |
| Bellin Psychiatric Center Inc. | Psychologist | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Psychiatric Center Inc | Current | Accepting new patients |
Locations
301 Saint Joseph St
Green Bay, WI 54301
Phone (920) 430-3630
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
933 Waube Ln
Green Bay, WI 54304
Phone (920) 548-9500
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bellin Health Algoma
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
-
dba Bellin Behavior Health Bellevue Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Green Bay, WI
- NPI 1952554800
-
dba Bellin Health
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
-
dba FMC Bellevue
- Family Medicine Physician
- Green Bay, WI
- NPI 1215189121
-
dba Bellin Behavior Health-Oconto Falls
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oconto Falls, WI
- NPI 1548223498
-
dba Bellin Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Green Bay, WI
- NPI 1598728776
Psychologist
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1891740585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1992086748",
"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": "920-445-7222",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E SAINT JOSEPH ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543012241",
"telephone_number": "920-433-6073",
"fax_number": "920-431-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMGARTNER",
"first_name": "SARAH",
"middle_name": "ELISABETH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-07",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "3670-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "ELLEFSON",
"middle_name": "ELISABETH",
"code": "1",
"type": "Former 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 Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.