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BELLIN BEHAVIOR HEALTH-EAST DEPERE
NPI 1144283318
Clinic/Center - Mental Health (Including Community Mental Health Center) in De Pere, WI

Active since April 10, 2006
555 REDBIRD CIR, DE PERE, WI 54115(920) 338-6830 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bellin Behavior Health-east Depere NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BELLIN BEHAVIOR HEALTH-EAST DEPERE (NPI 1144283318) is a healthcare organization registered as a mental health (including community mental health center) in De Pere, Wisconsin and active in the NPI registry since April 2006. The organization lists Denise K Stroobants, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1144283318
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBELLIN PSYCHIATRIC CENTER INC
Location Address555 REDBIRD CIRDe Pere, WI 54115-7977
Mailing AddressPo Box 22040Green Bay, WI 54305-2040 · (920) 445-7210 · Fax (920) 445-7289
Phone(920) 338-6830
Organization SubpartYes
Authorized OfficialDenise K StroobantsCredentialing Specialist · (920) 445-7226
Enumeration DateApril 10, 2006
Last NPPES UpdateJuly 10, 2019
✔ NPI 1144283318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X
555 REDBIRD CIR, De Pere, WI 54115
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Other Names 1

Doing Business AsBellin Behavior Health-east Depere

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bellin Behavior Health-east Depere is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWisconsinEnrollment IDO20031212000884Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

104

Medicare enrollment records show 104 clinicians reassign Medicare billing to Bellin Behavior Health-East Depere, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 64 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Mental Health Counselor34
Clinical Social Worker27
Psychiatry18
Nurse Practitioner12
Clinical Psychologist10
Family Practice2
Nephrology1

Nearest to this location (20)

See all 104
Kimberly Sandstrom, LPC
Mental Health Counselor
NPI 1538568910
555 REDBIRD CIR
De Pere, WI 54115
(920) 338-6830
✔ PECOS✔ Accepts MedicareSame address
Mackenzi Conard, LPC
Mental Health Counselor
NPI 1457191116
555 REDBIRD CIR
De Pere, WI 54115
(920) 338-6830
✔ PECOS✔ Accepts MedicareSame address
Tiffany Born, PH.D
Clinical Psychologist
NPI 1023498649
555 REDBIRD CIR STE 100
De Pere, WI 54115
(920) 338-6830
✔ PECOS0.1 mi
Hannah Bauer, LCSW
Clinical Social Worker
NPI 1699363846
1325 ANGELS PATH
De Pere, WI 54115
(920) 338-2855
✔ PECOS✔ Accepts Medicare1.4 mi
Deanna Dittloff
Mental Health Counselor
NPI 1083790240
1325 ANGELS PATH
De Pere, WI 54115
(920) 338-2855
✔ PECOS✔ Accepts Medicare1.4 mi
Gretchen Ebelt, MSW,LCSW
Clinical Social Worker
NPI 1265765564
1325 ANGELS PATH
De Pere, WI 54115
(920) 338-2855
✔ PECOS✔ Accepts Medicare1.4 mi
Kim Keyser, LCSW
Clinical Social Worker
NPI 1780649434
1325 ANGELS PATH
De Pere, WI 54115
(920) 338-2855
✔ PECOS✔ Accepts Medicare1.4 mi
Micaella Vandenboom, LPC
Mental Health Counselor
NPI 1841969151
1325 ANGELS PATH
De Pere, WI 54115
(920) 338-2855
✔ PECOS✔ Accepts Medicare1.4 mi
Margaret Brochocki, APNP PMHNP-BC
Nurse Practitioner
NPI 1033722392
1325 ANGELS PATH
De Pere, WI 54115
(920) 338-2855
✔ PECOS✔ Accepts Medicare1.4 mi
Hennah Etter, LPC
Mental Health Counselor
NPI 1679809511
1325 ANGELS PATH
De Pere, WI 54115
(920) 338-2855
✔ PECOS✔ Accepts Medicare1.4 mi
Mylan Kohler, DO
Psychiatry
NPI 1457521866
1325 ANGELS PATH
De Pere, WI 54115
(920) 338-2855
✔ PECOS✔ Accepts Medicare1.4 mi
Aspen Van Straten, APNP
Nurse Practitioner
NPI 1174397020
1325 ANGELS PATH
De Pere, WI 54115
(920) 338-2855
✔ PECOS✔ Accepts Medicare1.4 mi
Ali Al-Humadi, PSYD
Clinical Psychologist
NPI 1427567684
933 WAUBE LN
Green Bay, WI 54304
(920) 548-9500
✔ PECOS✔ Accepts Medicare3.0 mi
Anthony Marchlewski, MD
Psychiatry
NPI 1295710432
301 E SAINT JOSEPH ST
Green Bay, WI 54301
(920) 433-6073
✔ PECOS3.3 mi
Tara Robertson, MS.,PSYD
Clinical Psychologist
NPI 1831229376
301 E SAINT JOSEPH ST
Green Bay, WI 54301
(920) 433-3630
✔ PECOS✔ Accepts Medicare3.3 mi
Gabrielle Rodriguez, PSY.D
Clinical Psychologist
NPI 1073108239
301 E SAINT JOSEPH ST
Green Bay, WI 54301
(920) 433-6073
✔ PECOS3.3 mi
Tamara Baldwin, APNP
Nurse Practitioner
NPI 1518942937
301 E SAINT JOSEPH ST
Green Bay, WI 54301
(920) 433-0333
✔ PECOS✔ Accepts Medicare3.3 mi
Derek Carlson, MD
Psychiatry
NPI 1790775450
301 E SAINT JOSEPH ST
Green Bay, WI 54301
(920) 433-3630
✔ PECOS3.3 mi
Chitra Bhosekar, M.D
Nephrology
NPI 1114144466
2020 RIVERSIDE DR STE 200
Green Bay, WI 54301
(920) 433-9920
✔ PECOS✔ Accepts Medicare3.4 mi
Daniel Lemkuil, MD
Family Practice
NPI 1730163437
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ PECOS✔ Accepts Medicare4.9 mi
See all 104 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bellin Psychiatric Center Inc's NPI number?

The NPI number for Bellin Psychiatric Center Inc is 1144283318. It was assigned to this organization in the NPPES registry on April 10, 2006. The provider is doing business as Bellin Behavior Health-East Depere.

Where is Bellin Psychiatric Center Inc located?

Bellin Psychiatric Center Inc is located at 555 Redbird Cir, De Pere, WI 54115. The listed phone number is (920) 338-6830.

What is Bellin Psychiatric Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Bellin Psychiatric Center Inc enrolled in Medicare?

Yes. Bellin Psychiatric Center Inc is registered in the Medicare PECOS enrollment system.

When is Bellin Psychiatric Center Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Wisconsin, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bellin Psychiatric Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 104 clinicians in 7 Medicare specialties reassign their Medicare billing to Bellin Psychiatric Center Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (34), Clinical Social Worker (27) and Psychiatry (18). Of these, 2 practice at this address and 64 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bellin Psychiatric Center Inc was last updated on July 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.