BELLIN PSYCHIATRIC CENTER INC (NPI# 1952554800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952554800 |
Entity Type | Organization |
Organization Name | BELLIN PSYCHIATRIC CENTER INC |
Other Organization Name | BELLIN BEHAVIOR HEALTH BELLEVUE INC |
Practice Address |
3263 Eaton Road Green Bay WI 54311 |
Mailing Address |
3263 Eaton Rd Green Bay WI 54311-6830 |
Practice Telephone | 9204457222 |
Mailing Telephone | 9204333630 |
Enumeration Date | 2008-10-23 |
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 | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 42203300 | 05 |
Other Name | Type Code |
---|---|
BELLIN BEHAVIOR HEALTH BELLEVUE INC | Doing Business As Name - Organization |
Bellin Behavior Health-Bellevue | 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 |
1588992275 | Bellin Psychiatric Center Inc | Counselor | 3415 Custer St, Suite D, Manitowoc, WI 54220-4356 | 2009-11-18 |
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 |
3263 EATON ROAD |
City | GREEN BAY |
State | WI |
Zip Code | 54311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982688842 | Sabeeha S Bedi | Family Medicine | 3263 Eaton Road, Green Bay, WI 54311 | 2005-12-05 |
1114305471 | Aaron Lee White | Physical Therapist | 3263 Eaton Road, Green Bay, WI 54311-8046 | 2015-05-07 |
1841691797 | Matthew T Winney | Physical Therapist | 3263 Eaton Road, Bellin Sports Medicine East, Green Bay, WI 54311-8046 | 2014-09-10 |
1215189121 | Bellin Memorial Hospital Inc | Family Medicine | 3263 Eaton Road, Green Bay, WI 54311 | 2008-10-22 |
1699750612 | Shanie L Williams | Physical Therapist | 3263 Eaton Road, Green Bay, WI 54311-8046 | 2005-12-13 |
1679558878 | Jean M Mchenry | Nurse Practitioner | 3263 Eaton Road, Green Bay, WI 54311 | 2005-12-09 |
1962487165 | Mark Brian Ringwelski | Family Medicine | 3263 Eaton Road, Green Bay, WI 54311-8046 | 2005-12-09 |
1104801596 | Steven Alan Halsey | Family Medicine | 3263 Eaton Road, Green Bay, WI 54311 | 2005-12-08 |
1891779526 | Michael Gerald Mchenry | Family Medicine | 3263 Eaton Road, Green Bay, WI 54311 | 2005-12-06 |
1104800796 | Sabina Singh | Family Medicine | 3263 Eaton Road, Green Bay, WI 54311-6830 | 2005-12-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
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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... |
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---|---|---|---|---|
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 |
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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.