PYRAMID PSYCHIATRIC CARE, LLC (NPI# 1295226512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295226512 |
| Entity Type | Organization |
| Organization Name | PYRAMID PSYCHIATRIC CARE, LLC |
| Practice Address |
2475 University Ave Ste A Green Bay WI 54302-5099 |
| Practice Telephone | 9206322248 |
| Practice Fax Number | 9203514826 |
| Mailing Telephone | 9206322248 |
| Mailing Fax Number | 9203514826 |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |
| Authorized Official Name | ANDREW TODD BROCKER (FACILITY DIRECTOR) |
| Authorized Official Telephone | 9206322248 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
2475 UNIVERSITY AVE STE A |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54302-5099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447262183 | Neil P Fullan | Psychiatry & Neurology | 2475 University Ave Ste A, Green Bay, WI 54302-5099 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659721371 | Carissa Marie Sawicki | Counselor | 1234 Main Street, Suite 21, 3rd Floor, Green Bay, WI 54302 | 2016-06-14 |
| 1891181459 | Shannon Rae Mullins | Registered Nurse | 2254 Imperial Ln, Green Bay, WI 54302 | 2015-04-10 |
| 1346667045 | David Howard Jadin | Dentist | 1245 Main St, Green Bay, WI 54302 | 2014-03-20 |
| 1407003577 | Abby Baumgart | Counselor | 1234-21 Main St, Green Bay, WI 54302 | 2008-08-20 |
| 1447441779 | Muller Eyecare Associates Ltd | Optometrist | 1776 E Mason St, Green Bay, WI 54302 | 2007-08-01 |
| 1851385231 | Bornemann Nursing Home Inc | Skilled Nursing Facility | 226 Bornemann St, Green Bay, WI 54302 | 2005-08-31 |
| 1194188706 | Familia Dental Green Bay LLC | Dentist | 1931 Main St., Green Bay, WI 54302 | 2016-03-31 |
| 1255710125 | Kim Lawrence | Social Worker | 1234 Main St., St 21, 3rd Floor, Green Bay, WI 54302 | 2015-05-26 |
| 1255464533 | John Muller | Optometrist | 1776 E Mason St, Green Bay, WI 54302 | 2007-03-14 |
| 1851622005 | Michael Andrew Larkey | Social Worker | 815 Reber St, Green Bay, WI 54302-1116 | 2010-01-27 |
| Find all providers in zip 54302 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083871503 | Anima Family Counseling, LLC | Psychiatry & Neurology | 2475 University Ave, Suite A, Green Bay, WI 54302-5099 | 2008-05-21 |
| 1073662938 | Shelley Boehm Mattia | Psychiatry & Neurology | 428 Doty Street, Green Bay, WI 54301 | 2007-01-09 |
| 1386750115 | Peter M Fischer | Psychiatry & Neurology | 1351 Ontario Rd, Green Bay, WI 54311-8302 | 2006-08-22 |
| 1043295256 | George D Soncrant | Psychiatry & Neurology | 3000 Riverside Dr, Suite 180, Green Bay, WI 54301-1653 | 2005-12-09 |
| 1861993172 | Sbh-green Bay, LLC | Psychiatry & Neurology | 1351 Ontario Rd, Green Bay, WI 54311-8302 | 2018-02-22 |
| 1629513973 | Verstehen, LLC | Psychiatry & Neurology | 1351 Ontario Rd, Green Bay, WI 54311-8302 | 2016-12-22 |
| 1922556778 | Sbh-green Bay, LLC | Psychiatry & Neurology | 1351 Ontario Rd, Green Bay, WI 54311 | 2016-09-21 |
| 1033406038 | Emily R Rademacher | Psychiatry & Neurology | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2011-06-29 |
| 1457662249 | David M Mcmahon | Psychiatry & Neurology | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2010-06-25 |
| 1730406836 | Rekha Vijayan | Psychiatry & Neurology | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2010-04-28 |
| Find all providers in GREEN BAY | ||||
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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.