BELLIN PSYCHIATRIC CENTER INC (NPI# 1124438478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124438478 |
| Entity Type | Organization |
| Organization Name | BELLIN PSYCHIATRIC CENTER INC |
| Other Organization Name | BELLIN BEHAVIOR HEALTH ALGOMA |
| Practice Address |
831 Parker St Algoma WI 54201-0185 |
| Practice Telephone | 9204333630 |
| Practice Fax Number | 9204370533 |
| Mailing Telephone | 9204333630 |
| Mailing Fax Number | 9204370533 |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2019-07-10 |
| Authorized Official Name | DENISE K STROOBANTS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 9204457226 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bellin Behavior Health Algoma | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497318489 | Bellin Psychiatric Center Inc | Social Worker | 1970 S Ridge Rd, Green Bay, WI 54304-4125 | 2019-04-16 |
| 1780125476 | Bellin Psychiatric Center Inc | Counselor | 311 N 3rd Ave, Sturgeon Bay, WI 54235-2401 | 2017-03-14 |
| 1205287604 | Bellin Psychiatric Center Inc | Counselor | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2016-06-27 |
| 1366896839 | Bellin Psychiatric Center Inc | Social Worker | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2016-04-20 |
| 1588025720 | Bellin Psychiatric Center Inc | Clinic/Center | 1325 Angels Path, De Pere, WI 54115-4050 | 2016-03-16 |
| 1144552225 | Bellin Psychiatric Center Inc | Psychologist | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2010-02-01 |
| 1588992275 | Bellin Psychiatric Center Inc | Counselor | 3415 Custer St, Suite D, Manitowoc, WI 54220-4356 | 2009-11-18 |
| 1952554800 | Bellin Psychiatric Center Inc | Psychiatry & Neurology | 3263 Eaton Road, Green Bay, WI 54311 | 2008-10-23 |
| 1609050798 | Bellin Psychiatric Center Inc | Clinic/Center | 820 Arbutus Ave, Oconto, WI 54153 | 2007-12-26 |
| 1417143165 | Bellin Psychiatric Center Inc | Psychiatry & Neurology | 704 S Webster Ave, Green Bay, WI 54301-3528 | 2007-09-17 |
| Street Address |
831 PARKER ST |
| City | ALGOMA |
| State | WI |
| Zip Code | 54201-0185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477559938 | Robert James Anderson | Family Medicine | 831 Parker St, Algoma, WI 54201-0185 | 2005-06-21 |
| 1841603693 | Katie Ann Lukes | Registered Nurse | 831 Parker St, Algoma, WI 54201-0185 | 2014-06-10 |
| 1609838473 | Bellin Memorial Hospital Inc | Family Medicine | 831 Parker St, Algoma, WI 54201-1948 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609905645 | Rebecca Havel Prust | Dentist | 1223 Lake Street, Algoma, WI 54201 | 2007-03-05 |
| 1780734418 | Lakeshore Vision Centers, Ltd | Clinic/Center | 1021 Jefferson St., Algoma, WI 54201 | 2007-01-12 |
| 1306905575 | Alan William Haubenschild | Dentist | 409 5th St, Algoma, WI 54201 | 2006-12-06 |
| 1336128081 | Lisa Olson | Physician Assistant | 1510 Fremont St, Algoma, Algoma, WI 54201 | 2006-01-11 |
| 1558372094 | City of Algoma | Ambulance | 400 3rd St, Algoma, WI 54201-1211 | 2006-08-10 |
| 1447291331 | Kay K Secrest | Chiropractor | 316 Steele St, Algoma, WI 54201-1265 | 2006-06-09 |
| 1528106929 | Secrest Family Chiropractic LLC | Chiropractor | 316 Steele St, Algoma, WI 54201-1265 | 2007-02-01 |
| 1821511841 | Amber Beth Vanden Avond | Chiropractor | 305 Steele St Ste 1, Algoma, WI 54201-1266 | 2017-07-21 |
| 1871631127 | Mark John Sauter | Chiropractor | 305 Steele St, Suite 105, Algoma, WI 54201-1266 | 2007-02-01 |
| 1790274660 | Lighthouse Chiropractic, LLC | Chiropractor | 305 Steele St Ste 1, Algoma, WI 54201-1266 | 2018-05-07 |
| Find all providers in zip 54201 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1841809878 | Lifespan Psychotherapy | Clinic/Center | 510 Hartbrook Dr Ste 204b, Hartland, WI 53029-1440 | 2020-07-27 |
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1275164709 | Katrina M. Johnson, LLC | Clinic/Center | 106 Passive Sun Drive, Soldiers Grove, WI 54655 | 2020-02-03 |
| 1316587439 | Sixteenth Street Community Health Centers, Inc. | Clinic/Center | 1635 W National Ave, Milwaukee, WI 53204-1130 | 2020-01-07 |
| 1386283034 | Mainstreet Counseling | Clinic/Center | 1717 11th St, Monroe, WI 53566-1839 | 2019-12-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.