BELLIN PSYCHIATRIC CENTER INC (NPI# 1588992275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588992275 |
Entity Type | Organization |
Organization Name | BELLIN PSYCHIATRIC CENTER INC |
Other Organization Name | BELLIN BEHAVIOR HEALTH MANITOWOC |
Practice Address |
3415 Custer St Suite D Manitowoc WI 54220-4356 |
Practice Telephone | 9206529310 |
Mailing Telephone | 9206529310 |
Enumeration Date | 2009-11-18 |
Last Update Date | 2019-07-10 |
Authorized Official Name | DENISE K STROOBANTS (CREDENTIALING SPECIALIST) |
Authorized Official Telephone | 9204457226 |
Is Organization Subpart | Y |
Parent Organization Name | BELLIN PSYCHIATRIC CENTER INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Bellin Behavior Health Manitowoc | Doing Business As Name - Organization |
BELLIN BEHAVIOR HEALTH MANITOWOC INC | 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 |
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 |
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 |
3415 CUSTER ST SUITE D |
City | MANITOWOC |
State | WI |
Zip Code | 54220-4356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740265214 | Tammi S Gags | Physician Assistant | 3415 Custer St, Manitowoc, WI 54220-4324 | 2005-12-07 |
1841834678 | Stephen Robert Seifert | Dietitian, Registered | 3415 Custer St, Manitowoc, WI 54220-4324 | 2019-11-05 |
1396006821 | Erin M Zimbal | Physical Therapist | 3415 Custer St, Suite D, Manitowoc, WI 54220-4324 | 2012-05-31 |
1164788451 | Trish Luann Gordon | Case Manager/Care Coordinator | 3415 Custer St, Suite C, Manitowoc, WI 54220-4356 | 2012-04-11 |
1073879367 | Sighle Mleziva | Registered Nurse | 3415 Custer St, Suite C, Manitowoc, WI 54220-4356 | 2012-04-11 |
1760760045 | Gladys R Tienor | Registered Nurse | 3415 Custer St, Manitowoc, WI 54220-4356 | 2011-08-03 |
1689969008 | Amber Lee Grall | Case Manager/Care Coordinator | 3415 Custer St, Manitowoc, WI 54220-4356 | 2011-06-14 |
1942506928 | Rachel Lynn Schroeder | Case Manager/Care Coordinator | 3415 Custer St, Manitowoc, WI 54220-4356 | 2011-02-08 |
1841516804 | Kim Hynek | Registered Nurse | 3415 Custer St, Suite C, Manitowoc, WI 54220-4356 | 2010-04-15 |
1568788719 | Dionne M Centner | Case Manager/Care Coordinator | 3415 Custer St, Suite C, Manitowoc, WI 54220-4356 | 2010-04-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235614843 | Katherine Borchardt | Registered Nurse | 3520 Foxfire Ct, Manitowoc, WI 54220 | 2018-09-28 |
1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
1831593821 | Brittany Camille Schultz | Acupuncturist | 2510 Washington Street, Manitowoc, WI 54220 | 2014-10-20 |
1710311261 | Brian E Weitz | Physical Therapy Assistant | 960 S. Rapids Rd., Manitowoc, WI 54220 | 2013-09-01 |
1134499080 | Total Renal Care Inc | Clinic/Center | 3303 Dewey St, Manitowoc, WI 54220 | 2012-01-10 |
1679858534 | Lisa M Noworatzky | Marriage & Family Therapist | 926 S. 8th St., Manitowoc, WI 54220 | 2011-10-11 |
1306177225 | Cynthia Fay Wenzel | Licensed Practical Nurse | 915 East Linden Avenue, Manitowoc, WI 54220 | 2010-01-15 |
1851550628 | Roundys Supermarkets Inc | Pharmacy | 3300 Calumet Ave, Manitowoc, WI 54220 | 2008-06-05 |
1851566079 | Jennifer C Mcwilliams | Registered Nurse | 1004 Nth 8th St., Manitowoc, WI 54220 | 2008-04-29 |
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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 |
---|---|---|---|---|
1952634917 | Koenig, Inc | Clinic/Center | 926 S 8th St, Manitowoc, WI 54220-4535 | 2009-09-09 |
1821286493 | Aurora Medical Group, Inc. | Clinic/Center | 1425 Memorial Dr, Manitowoc, WI 54220-6707 | 2007-10-09 |
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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 |
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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.