BELL THERAPY CSP (NPI# 1043344146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043344146 |
| Entity Type | Organization |
| Organization Name | BELL THERAPY CSP |
| Other Organization Name | PHOENIX CARE SYSTEMS |
| Practice Address |
5500 8th Ave Kenosha WI 53140-3700 |
| Mailing Address |
3324 County Line Rd Racine WI 53403-9704 |
| Practice Telephone | 2625640067 |
| Mailing Telephone | 2625527311 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SHERILYN CATHERINE DE FAZIO (NURSE) |
| Authorized Official Telephone | 2625640067 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
WI | Nursing Service Providers |
| Other Name | Type Code |
|---|---|
| Phoenix Care Systems | Other Name - Individual/Organization |
| Street Address |
5500 8TH AVE |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841514916 | Bell Therapy Associates | Community/Behavioral Health | 5500 8th Ave, Kenosha, WI 53140-3700 | 2010-03-18 |
| 1396970596 | Michelle Ann Gehring | Case Manager/Care Coordinator | 5500 8th Ave, Kenosha, WI 53140-3700 | 2009-05-18 |
| 1235376286 | Jezzel Davies | Case Manager/Care Coordinator | 5500 8th Ave, Kenosha, WI 53140-3700 | 2009-01-13 |
| 1790922748 | Tracy C Blauser | Case Manager/Care Coordinator | 5500 8th Ave, Kenosha, WI 53140-3700 | 2009-01-13 |
| 1497992838 | Jami J Detjens | Case Manager/Care Coordinator | 5500 8th Ave, Kenosha, WI 53140-3700 | 2009-01-07 |
| 1619154994 | Sherilyn Catherine De Fazio | Registered Nurse | 5500 8th Ave, Kenosha, WI 53140-3700 | 2008-01-29 |
| 1851578322 | Tina Marie Luchinski | Case Manager/Care Coordinator | 5500 8th Ave, Kenosha, WI 53140-3700 | 2008-01-28 |
| 1104011170 | Anna M Slawny | Social Worker | 5500 8th Ave, Kenosha, WI 53140-3700 | 2007-09-12 |
| 1770778136 | Amber Ruth Hill | Counselor | 5500 8th Ave, Kenosha, WI 53140-3700 | 2007-09-10 |
| 1598950123 | Nicholas Aaron Potter | Social Worker | 5500 8th Ave, Kenosha, WI 53140-3700 | 2007-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| Find all providers in zip 53140 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417152299 | Dawn Zorn | Registered Nurse | 5500 8th Ave, Kenosha, WI 53140-3700 | 2007-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619039021 | Charlotte Gladbach | Registered Nurse | 1501 Airport Road, Waukesha, WI 53188 | 2006-12-14 |
| 1053923664 | Ashley Primley | Registered Nurse | 2500 Hall Ave, Marinette, WI 54143-1655 | 2020-08-17 |
| 1366089658 | Maria Michelle Watson | Registered Nurse | 151 E Badger Rd Ste A, Madison, WI 53713-2726 | 2019-12-05 |
| 1396391728 | Briann N. Modos | Registered Nurse | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2019-08-12 |
| 1366004442 | Deanna Lynn Kapitzke | Registered Nurse | 1505 North Drive, Winnebago, WI 54985-0016 | 2019-06-28 |
| 1154825529 | Johanna Halsted | Registered Nurse | 49 Kessel Ct, Madison, WI 53711-6200 | 2018-03-21 |
| 1588061436 | Shari Stolte | Registered Nurse | 505 Broadway St, Baraboo, WI 53913-2183 | 2014-11-20 |
| 1073917654 | Dan Powell | Registered Nurse | 2500 Hall Ave, Suitei B, Marinette, WI 54143-1655 | 2014-10-10 |
| 1932502325 | Andrew John Sievila | Registered Nurse | 2448 S 102nd St, Suite 200, West Allis, WI 53227-2466 | 2014-09-30 |
| 1447580410 | Valerie Jean Spanjers | Registered Nurse | 808 Main St E, Menomonie, WI 54751-2735 | 2010-01-13 |
| Find all providers with the same taxonomy | ||||
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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.