DRG CLINICAL, SC
NPI 1255048633
Psychiatry & Neurology - Psychiatry in Weston, WI

Active since November 03, 2022
5703 MEMORIAL CT, WESTON, WI 54476(715) 204-9808 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 22, 2024, Nov 3, 2022 (2 updates tracked since 2022).

About Drg Clinical, Sc NPPES

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

DRG CLINICAL, SC (NPI 1255048633), doing business as Weston Psychiatric, is a healthcare organization registered as a psychiatry in Weston, Wisconsin and active in the NPI registry since November 2022. The organization maintains 2 additional practice locations and lists Robert Gouthro, Owner, as its authorized official.

NPPES Registry Identity

NPI1255048633
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameDRG CLINICAL, SC
Location Address5703 MEMORIAL CTWeston, WI 54476-6502
Mailing Address5703 Memorial CtWeston, WI 54476-6502 · (715) 204-9808
Organization SubpartNo
Authorized OfficialRobert GouthroOwner · (715) 204-9808
Enumeration DateNovember 3, 2022
Last NPPES UpdateJuly 21, 20252 updates tracked since enumeration
NPPES CertifiedJuly 21, 2025
✔ NPI 1255048633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
5703 MEMORIAL CT, Weston, WI 54476

Other Names 1

Doing Business AsWeston Psychiatric

Secondary Practice Locations 2

Location 12941 S Ridge RdGreen Bay, WI 54304-5517 · Phone (715) 204-9808
Location 26307 Schofield AveSchofield, WI 54476-4352 · Phone (715) 204-9808

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Drg Clinical, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Drg Clinical, Sc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Psychiatry
NPI 1285752089
5703 MEMORIAL CT
Weston, WI 54476
(715) 204-9808
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1376764134
5703 MEMORIAL CT
Weston, WI 54476
(715) 204-9808
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1285886531
5703 MEMORIAL CT
Weston, WI 54476
(715) 204-9808
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1659472470
1000 N OAK AVE
Marshfield, WI 54449
(715) 387-5447
✔ PECOS✔ Accepts Medicare36 mi
Clinical Social Worker
NPI 1386793248
2920 S WEBSTER AVE STE B
Green Bay, WI 54301
(920) 632-4471
✔ PECOS81 mi
Clinical Social Worker
NPI 1699859843
2920 S WEBSTER AVE STE B
Green Bay, WI 54301
(920) 733-2065
✔ PECOS✔ Accepts Medicare81 mi

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 Drg Clinical, Sc's NPI number?

The NPI number for Drg Clinical, Sc is 1255048633. It was assigned to this organization in the NPPES registry on November 3, 2022. The provider is doing business as Weston Psychiatric.

Where is Drg Clinical, Sc located?

Drg Clinical, Sc is located at 5703 Memorial Ct, Weston, WI 54476. The listed phone number is (715) 204-9808.

What is Drg Clinical, Sc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Drg Clinical, Sc enrolled in Medicare?

Yes. Drg Clinical, Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Drg Clinical, Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Drg Clinical, Sc, in Clinical Psychologist, Clinical Social Worker, Marriage and Family Therapist, Nurse Practitioner and Psychiatry. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Drg Clinical, Sc accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Drg Clinical, Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Drg Clinical, Sc was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.