Derek Carl Carlson (NPI# 1790775450, PAC ID# 6507914694) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1790775450 |
| PAC ID by PECOS | 6507914694 |
| Professional Enrollment ID | I20140218001665 |
| Full Name | Derek Carl Carlson |
| Organization Legal Name | BELLIN PSYCHIATRIC CENTER INC |
| Address |
301 E Saint Joseph St Green Bay WI 54301-2241 |
| Phone Number | 9204336073 |
| Gender | M |
| Graduation Year | 1994 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 4486551058 |
| Number of Group Practice Members | 45 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 610 S Lincoln Rd, Bellin Health, Escanaba, MI 49829-1215 | 9067866488 | BELLIN PSYCHIATRIC CENTER INC |
| 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 9204336073 | BELLIN PSYCHIATRIC CENTER INC |
| Organization Legal Name | BELLIN PSYCHIATRIC CENTER INC |
| Physicians | 52 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Vanrite | Clinical Social Worker | Bellin Psychiatric Center Inc | 311 N 3rd Ave, Sturgeon Bay, WI 54235-2401 |
| Gretchen Anne Ebelt | Clinical Social Worker | Bellin Psychiatric Center Inc | 1325 Angels Path, De Pere, WI 54115-4050 |
| Emily Rose Rademacher | Psychiatry | Bellin Psychiatric Center Inc | 301 E Saint Joseph St, Green Bay, WI 54301-2241 |
| William B Hitch | Psychologist, Clinical | Bellin Psychiatric Center Inc | 301 E Saint Joseph St, Green Bay, WI 54301-2241 |
| Brian J Cagle | Psychologist, Clinical | Bellin Psychiatric Center Inc | 301 E Saint Joseph St, Green Bay, WI 54301-2241 |
| John C Charles | Psychiatry | Bellin Psychiatric Center Inc | 301 E Saint Joseph St, Green Bay, WI 54301-2241 |
| Mark R Eklund | Clinical Social Worker | Bellin Psychiatric Center Inc | 301 E Saint Joseph St, Green Bay, WI 54301-2241 |
| Brittany N Larscheid | Clinical Social Worker | Bellin Psychiatric Center Inc | 301 E Saint Joseph St, Green Bay, WI 54301-2241 |
| Amy Jo Schwarzenbart | Certified Clinical Nurse Specialist (cns) | Bellin Psychiatric Center Inc | 301 E Saint Joseph St, Green Bay, WI 54301-2241 |
| Danielle M Evenson | Clinical Social Worker | Bellin Psychiatric Center Inc | 301 E Saint Joseph St, Green Bay, WI 54301-2241 |
| Street Address |
301 E SAINT JOSEPH ST |
| City | GREEN BAY |
| State | WI |
| Zip | 54301-2241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Rose Rademacher | Psychiatry | Bellin Psychiatric Center Inc | 301 E Saint Joseph St, Green Bay, WI 54301-2241 |
| William B Hitch | Psychologist, Clinical | Bellin Psychiatric Center Inc | 301 E Saint Joseph St, Green Bay, WI 54301-2241 |
| Brian J Cagle | Psychologist, Clinical | Bellin Psychiatric Center Inc | 301 E Saint Joseph St, Green Bay, WI 54301-2241 |
| John C Charles | Psychiatry | Bellin Psychiatric Center Inc | 301 E Saint Joseph St, Green Bay, WI 54301-2241 |
| Mark R Eklund | Clinical Social Worker | Bellin Psychiatric Center Inc | 301 E Saint Joseph St, Green Bay, WI 54301-2241 |
| Brittany N Larscheid | Clinical Social Worker | Bellin Psychiatric Center Inc | 301 E Saint Joseph St, Green Bay, WI 54301-2241 |
| Amy Jo Schwarzenbart | Certified Clinical Nurse Specialist (cns) | Bellin Psychiatric Center Inc | 301 E Saint Joseph St, Green Bay, WI 54301-2241 |
| Danielle M Evenson | Clinical Social Worker | Bellin Psychiatric Center Inc | 301 E Saint Joseph St, Green Bay, WI 54301-2241 |
| Charles J Latorre | Clinical Social Worker | Bellin Psychiatric Center Inc | 301 E Saint Joseph St, Green Bay, WI 54301-2241 |
| Anthony Joseph Marchlewski | Psychiatry | Bellin Psychiatric Center Inc | 301 E Saint Joseph St, Green Bay, WI 54301-2241 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy O Trupke | Physical Therapy | Andrews Physical Therapy Sc | 3208 E River Dr, Green Bay, WI 54301-1410 |
| Eliza M Andrews | Physical Therapy | Andrews Physical Therapy Sc | 3208 E River Dr, Green Bay, WI 54301-1410 |
| Tina Marie Baeten | Clinical Social Worker | Baeten Counseling and Consultation Team Sc | 2920 S Webster Ave B, Green Bay, WI 54301-1594 |
| Daniel D Lyons | Chiropractic | 2920 S Webster Ave, Suite 100, Green Bay, WI 54301-1594 | |
| Valorie A Helander | Clinical Social Worker | Baeten Counseling and Consultation Team Sc | 2920 S Webster Ave B, Green Bay, WI 54301-1594 |
| Jennifer A Sovey Fahey | Clinical Social Worker | Baeten Counseling and Consultation Team Sc | 2920 S Webster Ave B, Green Bay, WI 54301-1594 |
| Kayla Marie Franzluebbers | Chiropractic | Lyons Health, LLC | 2920 S Webster Ave, Green Bay, WI 54301-1594 |
| Ann Meier Carli | Optometry | Advanced Eyecare Center | 3237 Riverside Dr, Suite A, Green Bay, WI 54301-1643 |
| Glenn D Carli | Optometry | Advanced Eyecare Center | 3237 Riverside Dr, Suite A, Green Bay, WI 54301-1643 |
| Steven L Kagen | Allergy/immunology | 2333 Riverside Dr, Green Bay, WI 54301-1945 | |
| Find all physicians in zip 54301 | |||
| City | GREEN BAY |
| Zip Code | 54301 |
| Specialty | PSYCHIATRY |
| City + Specialty | GREEN BAY + PSYCHIATRY |
Please comment or provide details below to improve the information on Derek Carl Carlson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.