BELLIN PSYCHIATRIC CENTER INC (NPI# 1508829136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508829136 |
| Entity Type | Organization |
| Organization Name | BELLIN PSYCHIATRIC CENTER INC |
| Other Organization Name | BELLIN BEHAVIOR HEALTH - KEWAUNEE |
| Practice Address |
575 4th St Kewaunee WI 54216-1785 |
| Practice Telephone | 9204333630 |
| Mailing Telephone | 9204333630 |
| Enumeration Date | 2006-04-06 |
| 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 | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BELLIN BEHAVIOR HEALTH - KEWAUNEE | 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 |
| 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 |
| Street Address |
575 4TH ST |
| City | KEWAUNEE |
| State | WI |
| Zip Code | 54216-1785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104811793 | Mark A Fuss | Physician Assistant | 575 4th St, Kewaunee, WI 54216-1785 | 2005-09-20 |
| 1447773783 | Marie G Smith | Dietitian, Registered | 575 4th St, Kewaunee, WI 54216 | 2017-07-19 |
| 1851667265 | Allan James Olson | Family Medicine | 575 4th St, Kewaunee, WI 54216-1785 | 2012-03-29 |
| 1891009338 | Marcia Ann Hayes | Nurse Practitioner | 575 4th St, Kewaunee, WI 54216-1785 | 2010-07-26 |
| 1447395389 | Anthony Michael Sachse | Physical Therapist | 575 4th St, Kewaunee, WI 54216 | 2007-02-20 |
| 1144391483 | Teresa M Vanlanen | Occupational Therapist | 575 4th St, Kewaunee, WI 54216-1785 | 2006-11-10 |
| 1699737379 | Bellin Memorial Hospital Inc | Family Medicine | 575 4th St, Kewaunee, WI 54216-1785 | 2006-04-06 |
| 1366427502 | Thomas Michael Zenner | Family Medicine | 575 4th St, Kewaunee, WI 54216-1785 | 2005-12-09 |
| 1649254384 | Bonnie S Mueller-waigand | Physician Assistant | 575 4th St, Kewaunee, WI 54216-1785 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114436284 | Rebecca M Kasten | Massage Therapist | 224 Ellis St., Kewaunee, WI 54216 | 2017-09-21 |
| 1780932772 | Tricia Lynn Keister | Registered Nurse | N6028 County Road D, Kewaunee, WI 54216 | 2012-08-22 |
| 1295988061 | Carol Jean Mueller | Licensed Practical Nurse | N 1199 Hwy 42, Kewaunee, WI 54216 | 2008-10-24 |
| 1578754511 | Kenneth J & Marilyn M Secor | Assisted Living Facility | 1204 Fourth St, Kewaunee, WI 54216 | 2007-08-06 |
| 1073548046 | Aurora Pharmacy Inc | Pharmacy | 931 Marquette Dr, Kewaunee, WI 54216 | 2006-07-11 |
| 1376572529 | Richard James Seifert | Social Worker | 810 Lincoln St, Kewaunee, WI 54216 | 2006-07-01 |
| 1639141955 | Marcus Arnold Steele | Chiropractor | 1218 Ellis Street, Steele Chiropractic Clinic, Kewaunee, WI 54216 | 2006-02-02 |
| 1952429300 | Lori M Nellis | Social Worker | 810 Lincoln Street, Kewaunee, WI 54216 | 2007-03-26 |
| 1073663704 | Lakeshore Vision Centers Ltd | Clinic/Center | 1217 Ellis St, Kewaunee, WI 54216 | 2007-01-12 |
| 1720152853 | Kristin Lynn Veleke | Case Manager/Care Coordinator | 810 Lincoln Street, Kewaunee, WI 54216 | 2006-11-20 |
| Find all providers in zip 54216 | ||||
| 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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| 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.