BELLIN PSYCHIATRIC CENTER INC. (NPI# 1598728776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598728776 |
| Entity Type | Organization |
| Organization Name | BELLIN PSYCHIATRIC CENTER INC. |
| Other Organization Name | BELLIN BEHAVIORAL HEALTH |
| Practice Address |
301 E Saint Joseph St Green Bay WI 54301 |
| Mailing Address |
301 E Saint Joseph St Green Bay WI 54301-2241 |
| Practice Telephone | 9204333630 |
| Mailing Telephone | 9204333630 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-03-10 |
| 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 | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
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 | 43000700 | 05 | |
| WI | 42203300 | 05 |
| Other Name | Type Code |
|---|---|
| BELLIN BEHAVIOR HEALTH-OUT PATIENT INC | Doing Business As Name - Organization |
| Bellin Behavioral Health | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 311 N 3rd Ave, Sturgeon Bay, WI 542352401 | 9204336073 | 9204370533 |
| 1630 Commanche Ave, Green Bay, WI 543135753 | 9204336073 | |
| 725 S Webster Ave, Green Bay, WI 543013500 | 9204370503 | 9204336073 |
| 704 S Webster Ave, Green Bay, WI 543013528 | 9204336073 | 9204370533 |
| 831 Parker Ave, Algoma, WI 542011808 | 9204336073 | 9204370533 |
| 401 W Mill St, Bonduel, WI 541079246 | 9204336073 | 9204326313 |
| 1800 Lawrence Dr, De Pere, WI 541159108 | 9204336073 | 9204370533 |
| 1325 Angels Path, De Pere, WI 541154050 | 9203382855 | 9203389270 |
| 3263 Eaton Rd, Green Bay, WI 543116830 | 9204336700 | 9204370533 |
| 723 S Wisconsin St, Pulaski, WI 541629303 | 9204336073 | 9204326313 |
| 820 Arbutus Ave, Oconto, WI 541532004 | 9204336073 | 9204370533 |
| 2714 Riverview Dr, Green Bay, WI 543136715 | 9204336073 | 9204370533 |
| 720 S Vanburen St, Green Bay, WI 543013534 | 9204336073 | 9204310333 |
| 325 N Roosevelt St, Green Bay, WI 543014731 | 9204336073 | 9204370533 |
| 440 Woodward Ave, Iron Mountain, MI 498014631 | 9067769040 | 9067745950 |
| 140 School Creek Trl, Luxemburg, WI 542171095 | 9204333630 | 9204370533 |
| 140b School Creek Trl, Luxemburg, WI 542171095 | 9204333630 | 9204370533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497225775 | Bellin Psychiatric Center Inc. | Psychiatry & Neurology | 106 S School Rd, Daggett, MI 49821-8555 | 2018-11-29 |
| 1801150206 | Bellin Psychiatric Center Inc. | Psychiatry & Neurology | 610 S Lincoln Rd, Escanaba, MI 49829-1215 | 2012-06-29 |
| Street Address |
301 E SAINT JOSEPH ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790775450 | Derek Carl Carlson | Psychiatry & Neurology | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2005-10-25 |
| 1407486541 | Gabrielle Cassandra Jochman | Social Worker | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2020-01-16 |
| 1457996910 | Jesse Frederick Peterson | Psychologist | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2019-11-08 |
| 1528500626 | Yasleny Rodriguez-castillo | Nurse Practitioner | 301 E Saint Joseph St, Green Bay, WI 54301 | 2016-11-07 |
| 1992156210 | Kari Lynn Mahlik | Nurse Practitioner | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2016-06-28 |
| 1710357900 | Erika Susanne Mangin | Registered Nurse | 301 E Saint Joseph St, Green Bay, WI 54301 | 2015-09-30 |
| 1972970572 | Kim Marie Smith | Counselor | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2015-08-31 |
| 1104200286 | Meghan A Thompson | Counselor | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2015-07-17 |
| 1720497118 | Mary Jo Vanden Wymelenberg | Counselor | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2014-08-11 |
| 1811308836 | Ainsley E. Blum | Counselor | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2014-05-13 |
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| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
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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 |
|---|---|---|---|---|
| 1558519462 | Family Services of Northeast Wisconsin | Clinic/Center | 2945 Shawano Ave, Green Bay, WI 54313-6726 | 2008-09-04 |
| 1235323270 | Kathleen Bahler & Associates, Inc. | Clinic/Center | 315 S Jefferson, Green Bay, WI 54301-4522 | 2007-09-04 |
| 1124246897 | Tomahawk Counseling | Clinic/Center | 1345 W Mason Street, Suite L8, Green Bay, WI 54303 | 2007-04-20 |
| 1376769117 | Catholic Charities of The Diocese of Green Bay Inc | Clinic/Center | 1825 Riverside Drive, Green Bay, WI 54305-3825 | 2007-04-18 |
| 1467453167 | Family Services of Northeast Wisconsin Inc | Clinic/Center | 300 Crooks St, Green Bay, WI 54301-4527 | 2005-08-03 |
| 1265969950 | Amanda Cardinal | Clinic/Center | 123 S Van Buren St, Green Bay, WI 54301-4441 | 2017-05-12 |
| 1487075214 | Kimberley Welk and Associates, LLC | Clinic/Center | 926 Willard Dr Ste 136, Green Bay, WI 54304-5296 | 2013-12-20 |
| 1578857967 | Aids Resource Center of Wisconsin, Inc. | Clinic/Center | 445 S Adams St, Green Bay, WI 54301-4107 | 2011-06-03 |
| 1942305065 | County of Brown | Clinic/Center | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-09-13 |
| 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 |
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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.