COUNTY OF BROWN (NPI# 1801908975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801908975 |
| Entity Type | Organization |
| Organization Name | COUNTY OF BROWN |
| Other Organization Name | BROWN COUNTY COMMUNITY TREATMENT CENTER-NICOLET PSYCH |
| Practice Address |
3150 Gershwin Drive Green Bay WI 54311-5859 |
| Practice Telephone | 9203914700 |
| Practice Fax Number | 9203914870 |
| Mailing Telephone | 9203914700 |
| Mailing Fax Number | 9203914870 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-02-11 |
| Authorized Official Name | MS. MARY BETH JOHNSON (ACTING ADMINISTRATOR) |
| Authorized Official Telephone | 9203914700 |
| Authorized Official Credential | RN,MS |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF BROWN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 213 | WI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 10064500 | 05 | |
| WI | RAILROAD MEDICARE | CC6458 | 01 |
| WI | BLUE CROSS | 510142673043 | 01 |
| Other Name | Type Code |
|---|---|
| Brown County Community Treatment Center-Nicolet Psych | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144302282 | County of Brown | Public Health or Welfare | 1117 Center St, New Ulm, MN 56073-3255 | 2006-10-19 |
| 1689944720 | County of Brown | Community/Behavioral Health | 111 N Jefferson St, Green Bay, WI 54301-5005 | 2012-01-06 |
| 1679747059 | County of Brown | Psychiatry & Neurology | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-04-17 |
| 1386818664 | County of Brown | Community/Behavioral Health | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-04-17 |
| 1134322787 | County of Brown | Public Health or Welfare | 610 S Broadway, Green Bay, WI 54303-1533 | 2007-06-08 |
| 1396811204 | County of Brown | Community/Behavioral Health | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-11-24 |
| 1386713352 | County of Brown | Community/Behavioral Health | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-11-06 |
| 1154422400 | County of Brown | Case Management | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-09-26 |
| 1275633687 | County of Brown | Case Management | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-09-25 |
| 1538269949 | County of Brown | Home Health | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-09-25 |
| Street Address |
3150 GERSHWIN DRIVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-5859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871901058 | Danielle Dufresne | Counselor | 3150 Gershwin Drive, Green Bay, WI 54311-4328 | 2014-07-31 |
| 1205167426 | Mary Miceli-wink | Counselor | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2010-01-28 |
| 1679707384 | Bethany A Robinson | Counselor | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2009-05-08 |
| 1679747059 | County of Brown | Psychiatry & Neurology | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-04-17 |
| 1386818664 | County of Brown | Community/Behavioral Health | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-04-17 |
| 1467626994 | Amy C Ricker | Social Worker | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-04-16 |
| 1497929921 | Heather A Grasse | Social Worker | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-04-16 |
| 1427221381 | Randall W Keigley | Social Worker | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-04-10 |
| 1790958973 | Kevin P Lunog | Counselor | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-04-08 |
| 1598934440 | Michael W Wilbert | Counselor | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-02-25 |
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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 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413816 | Sbh-madison LLC | Psychiatric Hospital | 3169 Deming Way, Middleton, WI 53562-1435 | 2020-10-05 |
| 1164736021 | Andrew Jay Kessler | Psychiatric Hospital | 1west Lincoln Avenue, Waupun, WI 53595 | 2010-08-03 |
| 1083728612 | County of Milwaukee | Psychiatric Hospital | 9455 W Watertown Plank Rd, Milwaukee, WI 53226-3559 | 2006-08-19 |
| 1205292869 | Veteran Health Administration | Psychiatric Hospital | 2500 Overlook Ter, Madison, WI 53705-2254 | 2016-01-12 |
| 1013212810 | Milwaukee County Behavioral Health | Psychiatric Hospital | 9201 W Watertown Plank Rd, Milwaukee, WI 53226-3558 | 2011-01-26 |
| 1104139021 | Wfhc - All Saints | Psychiatric Hospital | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2010-07-20 |
| 1053588293 | Joanne Zimmerman | Psychiatric Hospital | 9455 W Watertown Plank Rd, Milwaukee, WI 53226-3559 | 2008-05-15 |
| 1407988892 | County of Waukesha Department of Finance | Psychiatric Hospital | 1501 Airport Rd, Waukesha, WI 53188-3632 | 2007-03-12 |
| 1164516506 | State of Wisconsin | Psychiatric Hospital | 1300 South Drive, Winnebago, WI 54985-0009 | 2006-10-02 |
| 1114035458 | Human Services Board Serving North Central Health Care | Psychiatric Hospital | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2006-08-28 |
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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.