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WINNEBAGO MENTAL HEALTH INSTITUTE
NPI 1164516506
Psychiatric Hospital in Winnebago, WI

Active since October 02, 2006CLIA 52D0398019 · Accreditation
1300 SOUTH DRIVE, WINNEBAGO, WI 54985(920) 235-4910(920) 237-2043 Get Directions Write a Review

NPPES record last updated: February 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Winnebago Mental Health Institute NPPES

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

WINNEBAGO MENTAL HEALTH INSTITUTE (NPI 1164516506) is a healthcare organization registered as a psychiatric hospital in Winnebago, Wisconsin and active in the NPI registry since October 2006. The organization holds an CLIA Accreditation certificate valid through June 25, 2027 and lists Robert G Kneepkens, Director, as its authorized official.

NPPES Registry Identity

NPI1164516506
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameSTATE OF WISCONSIN
Location Address1300 SOUTH DRIVEWinnebago, WI 54985-0009
Mailing Address1300 South DriveWinnebago, WI 54985-0009 · (920) 235-4910 · Fax (920) 237-2043
Phone(920) 235-4910
Fax(920) 237-2043
Organization SubpartNo
Authorized OfficialRobert G KneepkensDirector · (920) 235-4910
Enumeration DateOctober 2, 2006
Last NPPES UpdateFebruary 15, 2008
✔ NPI 1164516506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in WI · 250
Definition
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.
1300 SOUTH DRIVE, Winnebago, WI 54985
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Other Names 1

Other NameWinnebago Mental Health Institute

Other Identifiers 2

Medicaid10063000WI
Medicare OSCAR/certification524002WI

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 52D0398019

Winnebago Mental Health Institute Laboratory · Winnebago, WI
Active · expires Jun 25, 2027
CLIA Number52D0398019
Laboratory TypeHospital
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorDr. Jonathan Gedye
Laboratory Phone(920) 235-4910
Laboratory LocationWinnebago Mental Health Institute Laboratory1302 South Dr, Winnebago, WI 54985
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Winnebago Mental Health Institute (CMS certification number 524002), from CMS Care Compare.

Winnebago Mental Health Institute

Psychiatric · Winnebago, WI
OwnershipGovernment - State
CMS Certification Number524002
Location4100 Treffert DrWinnebago, WI 54985 · Winnebago County · (920) 235-4910

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOUIS M FULTON MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1300 SOUTH DRIVE, WINNEBAGO MENTAL HEALTH INFORMATION
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
JESSE ELIZABETH CHILDS PA-C
Physician Assistant (Medical)
1300 SOUTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
DR. KIMBERLY SUE HOENECKE D.O.
Psychiatry & Neurology (Psychiatry)
1300 SOUTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
ALEJANDRO A EISMA MD
Internal Medicine
1300 SOUTH DRIVE, WINNEBAGO MENTAL HEALTH INSTITUTE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
KONSTANTIN A MIKHEYEV DO
Family Medicine
1300 SOUTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
KARIN ZODROW
Nurse Practitioner (Family)
1300 SOUTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
CLIFFORD K STEPHENS PH.D
Psychologist (Clinical)
1300 SOUTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
JENNIFER PARNELL PA-C
Physician Assistant
1300 SOUTH DRIVE
OSHKOSH, WI 54985
Winnebago County (920) 235-4910

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 State Of Wisconsin's NPI number?

The NPI number for State Of Wisconsin is 1164516506. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is also known as Winnebago Mental Health Institute.

Where is State Of Wisconsin located?

State Of Wisconsin is located at 1300 South Drive, Winnebago, WI 54985. The listed phone number is (920) 235-4910.

What is State Of Wisconsin's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Does State Of Wisconsin hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 52D0398019) is associated with this NPI, valid through June 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is State Of Wisconsin a Medicare-certified hospital?

Yes. Winnebago Mental Health Institute is a Medicare-certified hospital (Psychiatric).

When was this NPI record last updated?

The NPPES record for State Of Wisconsin was last updated on February 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.