BELLIN PSYCHIATRIC CENTER INC (NPI# 1366896839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366896839 |
Entity Type | Organization |
Organization Name | BELLIN PSYCHIATRIC CENTER INC |
Other Organization Name | BELLIN PSYCHIATRIC CENTER MARINETTE |
Practice Address |
2820 Roosevelt Rd Marinette WI 54143-3834 |
Mailing Address |
Po Box 22040 Green Bay WI 54305-2040 |
Practice Telephone | 9204336073 |
Practice Fax Number | 9204370533 |
Mailing Telephone | 9204457222 |
Mailing Fax Number | 9204457289 |
Enumeration Date | 2016-04-20 |
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 | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | WI DSL LICENSE | 2759 | 01 |
WI | 1598728776 | 05 |
Other Name | Type Code |
---|---|
Bellin Behavior Health Marinette | Doing Business As Name - Organization |
BELLIN PSYCHIATRIC CENTER MARINETTE | 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 |
1588025720 | Bellin Psychiatric Center Inc | Clinic/Center | 1325 Angels Path, De Pere, WI 54115-4050 | 2016-03-16 |
1124438478 | Bellin Psychiatric Center Inc | Counselor | 831 Parker St, Algoma, WI 54201-0185 | 2014-05-07 |
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 |
2820 ROOSEVELT RD |
City | MARINETTE |
State | WI |
Zip Code | 54143-3834 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417944810 | Sandra B Macarthur | Pediatrics | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2005-09-30 |
1699393983 | Andrea Olson | Physical Therapist | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2020-07-13 |
1548804370 | Mallory H Krueger | Dietitian, Registered | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2019-11-05 |
1154813319 | Ashley T Bretl | Physical Therapist | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2018-06-04 |
1144725409 | Oconto Hospital & Medical Center, Inc. | Clinic/Center | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2018-03-28 |
1801307061 | Baycare Clinic, LLP | Neurological Surgery | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2017-10-16 |
1972013985 | Emily Hope Bauman | Dietitian, Registered | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2017-10-04 |
1326565334 | Stacie Marie Zdroik | Nurse Practitioner | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2017-08-30 |
1821527821 | Lucas A Navrestad | Physical Therapist | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2017-06-05 |
1710415799 | Andrew R Rosik | Physical Therapist | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2017-06-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669966750 | Allie Parthie | Dentist | 1420 University Dr, Marinette, WI 54143 | 2018-06-21 |
1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
1538698618 | Meghan M Russell | Nurse Practitioner | 4061 Old Peshtigo Road, Marinette, WI 54143 | 2017-06-12 |
1801279435 | Stephanie Miller | Licensed Practical Nurse | W1902 State Hwy 64, Marinette, WI 54143 | 2015-07-01 |
1417298704 | Danielle Risner | Occupational Therapist | Luther Home 831 Pine Beach Rd, Marinette, WI 54143 | 2013-03-12 |
1053631903 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | W 716 County B, Ste B, Marinette, WI 54143 | 2010-06-02 |
1417105545 | Forefront Dermatology, S.c. | Dermatology | 3515 Murray Street, Marinette, WI 54143 | 2008-09-03 |
1245493352 | Judith M Ribbens | Counselor | 1557 Cleveland Ave, Marinette, WI 54143 | 2008-07-08 |
1538338926 | Charlene Mae Miller | Licensed Practical Nurse | 1126 Daggett, Marinette, WI 54143 | 2008-02-29 |
1104025519 | James Alan Boren | Family Medicine | 5926 Highway 41, Stephenson, MI 54143 | 2007-07-16 |
Find all providers in zip 54143 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518339175 | St. Vincent Hospital-hospital Sisters-third Order of St. Francis | Clinic/Center | 1409 Cleveland Ave, Marinette, WI 54143-3918 | 2015-10-22 |
1134237480 | County of Marinette | Clinic/Center | 2500 Hall Ave, Suite A, Marinette, WI 54143 | 2006-08-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477151439 | Tetzlaff & Myhre Psychotherapy and Assessments, LLC | Clinic/Center | N55w37178 Roland St, Oconomowoc, WI 53066-5321 | 2020-10-13 |
1598377244 | Calming Journeys Counseling, S.c. | Clinic/Center | 220 Wisconsin Dells Pkwy S Ste 1, Wisconsin Dells, WI 53965-8305 | 2020-08-23 |
1811509979 | Natural Wisdom Counseling LLC | Clinic/Center | 1523 Wi-78 Trunk, Mount Horeb, WI 53572 | 2020-08-20 |
1245841089 | Integrated Counseling LLC | Clinic/Center | 7818 Big Sky Dr Ste 214, Madison, WI 53719-2840 | 2020-08-14 |
1629687108 | Premier Medical & Couple Therapy | Clinic/Center | 1025 W Glen Oaks Ln Ste 208, Mequon, WI 53092-3374 | 2020-07-30 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on BELLIN PSYCHIATRIC CENTER INC.
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.