| West Central Wisconsin Behavioral Health | |
|
N36647 County Road Qqq Whitehall WI 54773-4400 | |
| (715) 538-9134 | |
| (715) 538-9131 |
| Full Name | West Central Wisconsin Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | N36647 County Road Qqq, Whitehall, Wisconsin |
| Authorized Official Name and Position | Jerry Deetz (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7155384312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Central Wisconsin Behavioral Health W20410 State Road 121 Whitehall WI 54773-9147 Ph: (715) 538-4312 | West Central Wisconsin Behavioral Health N36647 County Road Qqq Whitehall WI 54773-4400 Ph: (715) 538-9134 |
| NPI Number | 1548227770 |
|---|---|
| Provider Enumeration Date | 05/01/2006 |
| Last Update Date | 04/19/2021 |
| Certification Date | 04/19/2021 |
| Medicare PECOS PAC ID | 9133149156 |
|---|---|
| Medicare Enrollment ID | O20051205000776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548227770 | NPI | - | NPPES |
| 2543 | Other | WI | WCWBH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2543 (Wisconsin) | Primary |
| Provider Name | James S Persing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588602379 PECOS PAC ID: 5991692162 Enrollment ID: I20040302000908 |
| Provider Name | Madan Uprety |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528109758 PECOS PAC ID: 6406888163 Enrollment ID: I20050902000339 |
| Provider Name | Katrina R Hammel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780894527 PECOS PAC ID: 7012084965 Enrollment ID: I20101108000728 |
| Provider Name | Jody E Kroening |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790929891 PECOS PAC ID: 5092009290 Enrollment ID: I20160811000385 |
Spencer Psychology Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 40154 Us Highway 53, Whitehall, WI 54773 Phone: 715-533-0812 Fax: 888-823-3671 | |
Trempealeau County Health Care Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: W20410 State Road 121, Whitehall, WI 54773 Phone: 715-538-4312 Fax: 715-538-2426 | |
Behavioral Health - Whitehall Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 36024 Park St, Whitehall, WI 54773 Phone: 608-782-7300 | |
Trempealeau County Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 36245 Main St, Whitehall, WI 54773 Phone: 715-538-2311 Fax: 715-538-4274 | |
Trempealeau County Department Of Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 36245 Main St, Courthouse, Whitehall, WI 54773 Phone: 715-538-2311 Fax: 715-538-4274 |