| Bellin Behavior Health Bellevue Inc | |
|
3263 Eaton Road Green Bay WI 54311 | |
| (920) 445-7222 | |
| Not Available |
| Full Name | Bellin Behavior Health Bellevue Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3263 Eaton Road, Green Bay, Wisconsin |
| Authorized Official Name and Position | Denise K Stroobants (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9204457226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellin Behavior Health Bellevue Inc 3263 Eaton Rd Green Bay WI 54311-6830 Ph: (920) 433-3630 | Bellin Behavior Health Bellevue Inc 3263 Eaton Road Green Bay WI 54311 Ph: (920) 445-7222 |
| NPI Number | 1952554800 |
|---|---|
| Provider Enumeration Date | 10/23/2008 |
| Last Update Date | 07/10/2019 |
| Medicare PECOS PAC ID | 4486551058 |
|---|---|
| Medicare Enrollment ID | O20031212000884 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952554800 | NPI | - | NPPES |
| 42203300 | Medicaid | WI |
| Provider Name | Tamara A Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518942937 PECOS PAC ID: 5698744985 Enrollment ID: I20041004000106 |
| Provider Name | Pamela A Clough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609851963 PECOS PAC ID: 9638110174 Enrollment ID: I20050516000458 |
| Provider Name | Michael H Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013080894 PECOS PAC ID: 4880628585 Enrollment ID: I20050922000237 |
| Provider Name | Wendy M Chryst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316040942 PECOS PAC ID: 5395751473 Enrollment ID: I20060227000564 |
| Provider Name | Kathleen A Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699868885 PECOS PAC ID: 5496756777 Enrollment ID: I20070130000131 |
| Provider Name | Chitra S Bhosekar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114144466 PECOS PAC ID: 4789770256 Enrollment ID: I20071013000020 |
| Provider Name | Susan A Huber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205853801 PECOS PAC ID: 6608965751 Enrollment ID: I20071128000095 |
| Provider Name | Eva M Colson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467510842 PECOS PAC ID: 5496832321 Enrollment ID: I20080402000755 |
| Provider Name | Daniel C Lemkuil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730163437 PECOS PAC ID: 8022195239 Enrollment ID: I20080411000131 |
| Provider Name | Tara L Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831229376 PECOS PAC ID: 7618032426 Enrollment ID: I20090211000346 |
| Provider Name | Elaine A Schoeni |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467782029 PECOS PAC ID: 1850434879 Enrollment ID: I20100129000577 |
| Provider Name | David J Leicht |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417941071 PECOS PAC ID: 2860522612 Enrollment ID: I20100604000987 |
| Provider Name | Anthony Joseph Marchlewski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295710432 PECOS PAC ID: 0840315511 Enrollment ID: I20100917000793 |
| Provider Name | Mylan Kohler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457521866 PECOS PAC ID: 5890989974 Enrollment ID: I20101102001432 |
| Provider Name | Brian J Cagle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073598314 PECOS PAC ID: 6800081316 Enrollment ID: I20101110000575 |
| Provider Name | Sally Jo Ledvina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730474347 PECOS PAC ID: 3173795655 Enrollment ID: I20111005000132 |
| Provider Name | Victoria Passov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891838173 PECOS PAC ID: 1052406717 Enrollment ID: I20130221000428 |
| Provider Name | Naciye Kalafat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861459612 PECOS PAC ID: 4688670755 Enrollment ID: I20130703000665 |
| Provider Name | Natalie M Deuster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467723064 PECOS PAC ID: 3274762521 Enrollment ID: I20140206001393 |
| Provider Name | Derek Carl Carlson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790775450 PECOS PAC ID: 6507914694 Enrollment ID: I20140218001665 |
| Provider Name | Kim L Keyser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780649434 PECOS PAC ID: 2264755032 Enrollment ID: I20141231000744 |
| Provider Name | Emily Rose Rademacher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033406038 PECOS PAC ID: 5294056735 Enrollment ID: I20150609001143 |
| Provider Name | Lori Jo Eklund Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457425951 PECOS PAC ID: 0648580969 Enrollment ID: I20151116002720 |
| Provider Name | Morgan Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538400445 PECOS PAC ID: 3678870607 Enrollment ID: I20160318000758 |
| Provider Name | Kari Lynn Mahlik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992156210 PECOS PAC ID: 2961797717 Enrollment ID: I20160818001556 |
| Provider Name | Pamela L Baranczyk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518134014 PECOS PAC ID: 2365738366 Enrollment ID: I20160830002711 |
| Provider Name | Gretchen Anne Ebelt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265765564 PECOS PAC ID: 0749561553 Enrollment ID: I20170109003060 |
| Provider Name | Yasleny F Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528500626 PECOS PAC ID: 4183906951 Enrollment ID: I20170131002615 |
| Provider Name | Dhanvendran Ramar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316269640 PECOS PAC ID: 7012151178 Enrollment ID: I20170202002736 |
| Provider Name | Rekha Vijayan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730406836 PECOS PAC ID: 4880838952 Enrollment ID: I20170202002850 |
| Provider Name | Tiffany Lynn Born |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023498649 PECOS PAC ID: 6406122217 Enrollment ID: I20171023002995 |
| Provider Name | Jennifer L Vanrite |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891024345 PECOS PAC ID: 9931465937 Enrollment ID: I20171107003430 |
| Provider Name | Erika Susanne Mangin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710357900 PECOS PAC ID: 5991070195 Enrollment ID: I20180831001855 |
| Provider Name | Danielle M Evenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184092884 PECOS PAC ID: 1951652916 Enrollment ID: I20181001003450 |
| Provider Name | Charles J Latorre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205309721 PECOS PAC ID: 0749527687 Enrollment ID: I20190130001481 |
| Provider Name | Brett C Follett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639673940 PECOS PAC ID: 3476895343 Enrollment ID: I20190424001241 |
| Provider Name | Sarah E Baumgartner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992086748 PECOS PAC ID: 5395079115 Enrollment ID: I20190628000414 |
| Provider Name | Steven A Bomkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780238584 PECOS PAC ID: 9931436870 Enrollment ID: I20190814003887 |
| Provider Name | Heather Rae Fochesato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821482795 PECOS PAC ID: 1052629193 Enrollment ID: I20191004002778 |
| Provider Name | Mary Jo Vanden Wymelenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720497118 PECOS PAC ID: 8820329576 Enrollment ID: I20191010000022 |
| Provider Name | Jesse Frederick Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457996910 PECOS PAC ID: 7113359910 Enrollment ID: I20191116000147 |
| Provider Name | Ashley Rae Sheeter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467839464 PECOS PAC ID: 5799026803 Enrollment ID: I20191211000114 |
| Provider Name | Chaz Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467802645 PECOS PAC ID: 2860788114 Enrollment ID: I20191213000758 |
| Provider Name | Amanda R Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184145161 PECOS PAC ID: 6406284173 Enrollment ID: I20200311000494 |
| Provider Name | Nicole Norcross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518507235 PECOS PAC ID: 1951723527 Enrollment ID: I20200629000259 |
| Provider Name | Margaret M Brochocki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033722392 PECOS PAC ID: 1355751082 Enrollment ID: I20201106002026 |
| Provider Name | Hannah Leigh Bauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699363846 PECOS PAC ID: 6507270121 Enrollment ID: I20210122000344 |
| Provider Name | Sara Marie Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326636044 PECOS PAC ID: 0345654448 Enrollment ID: I20210202000343 |
| Provider Name | Gabrielle Marie Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073108239 PECOS PAC ID: 6901212000 Enrollment ID: I20210316001784 |
| Provider Name | Jessica Ann Pech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023601143 PECOS PAC ID: 4082021274 Enrollment ID: I20210406002182 |
| Provider Name | John W Pruett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881623106 PECOS PAC ID: 1153558465 Enrollment ID: I20210707003682 |
| Provider Name | Sarah A Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649616764 PECOS PAC ID: 6406252394 Enrollment ID: I20210831003776 |
| Provider Name | Tanya Lynn Malek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063801975 PECOS PAC ID: 9638575319 Enrollment ID: I20210903000694 |
| Provider Name | Alexandra Rush |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295260784 PECOS PAC ID: 0840697926 Enrollment ID: I20210916003160 |
| Provider Name | Crystal Lynn Vankauwenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730845157 PECOS PAC ID: 6800286808 Enrollment ID: I20211207000409 |
| Provider Name | Michelle M Cherney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689234288 PECOS PAC ID: 7810387693 Enrollment ID: I20211209002784 |
| Provider Name | Gabrielle Cassandra Jochman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407486541 PECOS PAC ID: 2567857303 Enrollment ID: I20220315000805 |
| Provider Name | Matthew H Burson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316903834 PECOS PAC ID: 2567556681 Enrollment ID: I20220323001737 |
| Provider Name | Autumn Marie Erdmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336725720 PECOS PAC ID: 0143697151 Enrollment ID: I20221104000272 |
| Provider Name | Michelle Ann Edwards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730682386 PECOS PAC ID: 2264801380 Enrollment ID: I20221213001409 |
| Provider Name | Lori Anne Lowthert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558562058 PECOS PAC ID: 2961553847 Enrollment ID: I20230407001446 |
| Provider Name | Micayla Marie Fritsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316689565 PECOS PAC ID: 2769847599 Enrollment ID: I20230501002979 |
| Provider Name | Anne Marie Wannamaker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164982237 PECOS PAC ID: 6709283641 Enrollment ID: I20230524001229 |
| Provider Name | Amanda Rae Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518732726 PECOS PAC ID: 2567811714 Enrollment ID: I20231213001028 |
| Provider Name | Deanna L Dittloff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083790240 PECOS PAC ID: 5890145163 Enrollment ID: I20231228002398 |
| Provider Name | Brittany Ann Eland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700581766 PECOS PAC ID: 1658721816 Enrollment ID: I20231229001766 |
| Provider Name | Marisa L Evans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316338502 PECOS PAC ID: 0547610735 Enrollment ID: I20240101000022 |
| Provider Name | Mark Daniel Dittloff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194965590 PECOS PAC ID: 4183074370 Enrollment ID: I20240101000030 |
| Provider Name | Bridget G Blean |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790129187 PECOS PAC ID: 3870943905 Enrollment ID: I20240102001202 |
| Provider Name | Ashley Nicole Hopp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669097788 PECOS PAC ID: 9638529787 Enrollment ID: I20240102001765 |
| Provider Name | Courtney L Krolikowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134537129 PECOS PAC ID: 1951751957 Enrollment ID: I20240102003942 |
| Provider Name | Kaylee T Ninnemann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184075434 PECOS PAC ID: 7012367055 Enrollment ID: I20240103001064 |
| Provider Name | Kimberly Ann Sandstrom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538568910 PECOS PAC ID: 9739539776 Enrollment ID: I20240103001118 |
| Provider Name | Alyssa M Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598063257 PECOS PAC ID: 8224488283 Enrollment ID: I20240103001902 |
| Provider Name | Amy M Higginbotham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104125020 PECOS PAC ID: 1456702471 Enrollment ID: I20240103004390 |
| Provider Name | Shondra T Watson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558659755 PECOS PAC ID: 9234580291 Enrollment ID: I20240104000691 |
| Provider Name | Sheila K Gohr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326213976 PECOS PAC ID: 3971954942 Enrollment ID: I20240104001046 |
| Provider Name | Micaella Maria Vandenboom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841969151 PECOS PAC ID: 3173974862 Enrollment ID: I20240106000762 |
| Provider Name | Aspen Marie Jump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174397020 PECOS PAC ID: 4587015169 Enrollment ID: I20240108005297 |
| Provider Name | Patricia L Vandermause |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174839336 PECOS PAC ID: 3274984810 Enrollment ID: I20240109001254 |
| Provider Name | Kimberly K Perry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982761219 PECOS PAC ID: 3375544141 Enrollment ID: I20240112001281 |
| Provider Name | Alexandria Kelsey Tressler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861127573 PECOS PAC ID: 9133571961 Enrollment ID: I20240117003566 |
| Provider Name | Katherine Ann Mayer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861577454 PECOS PAC ID: 5092167627 Enrollment ID: I20240119001442 |
| Provider Name | Jody B Larson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750590477 PECOS PAC ID: 8921451766 Enrollment ID: I20240129003103 |
| Provider Name | Ainsley E Blum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811308836 PECOS PAC ID: 0941653562 Enrollment ID: I20240131001388 |
| Provider Name | Elizabeth Dionne Maes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083037402 PECOS PAC ID: 4082067368 Enrollment ID: I20240202001857 |
| Provider Name | David J Bell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447235148 PECOS PAC ID: 1052756053 Enrollment ID: I20240229002543 |
Goodine Counseling Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Circle Dr Ste B, Green Bay, WI 54304 Phone: 920-660-9797 | |
Thriveworks Clinical - Wisconsin Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2920 S Webster Ave Ste E, Green Bay, WI 54301 Phone: 855-284-7483 | |
Gam Behavioral Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3021 Holmgren Way, Suite 203a, Green Bay, WI 54304 Phone: 920-339-9307 Fax: 920-339-9374 | |
Goodine Counseling Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 Riverside Dr, Green Bay, WI 54301 Phone: 920-362-0447 | |
Healthy Hope Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 Willard Dr Ste 136, Green Bay, WI 54304 Phone: 920-328-0717 Fax: 920-328-0715 | |
Julie Feld And Associates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 S Webster Ave, Green Bay, WI 54301 Phone: 920-884-8138 Fax: 920-884-8148 | |
Spectrum Behavioral Health Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1496 Bellevue St, Suite 101, Green Bay, WI 54311 Phone: 920-784-2644 |