BELLIN BEHAVIORAL HEALTH-DEPERE
NPI 1669434288
Clinic/Center - Mental Health (Including Community Mental Health Center) in De Pere, WI

NPI Status: Active since April 06, 2006

Contact Information

1800 LAWRENCE DR
DE PERE, WI
ZIP 54115
Phone: (920) 433-3630

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • CLIA Number: 52D1020434
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 12-18-2025

About BELLIN BEHAVIORAL HEALTH-DEPERE

This page provides the complete NPI Profile along with additional information for Bellin Behavioral Health-depere, a provider established in De Pere, Wisconsin operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1669434288 assigned on April 2006. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Bellin Behavioral Health-depere. The authorized official of this NPI record is Denise K Stroobants (Credentialing Specialist)

NPI
1669434288
Provider Legal Name
BELLIN PSYCHIATRIC CENTER INC
Other Organization Name
BELLIN BEHAVIORAL HEALTH-DEPERE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1800 LAWRENCE DR DE PERE, WI 54115
Location Phone
(920) 433-3630
Mailing Address
1800 LAWRENCE DR DE PERE, WI 54115
Mailing Phone
(920) 433-3630
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-06-2006
Last Update Date
07-10-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1104100000XBehavioral Health & Social Service Providers

Social Worker

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DENISE K STROOBANTS

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(920) 445-7226

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D1020434
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
December 19, 2023
Certificate Expiration Date
December 18, 2025
Laboratory Director
MS. SHARLA D. BAENEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bellin Behavioral Health-depere to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669434288, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 8 + 3 + 8 + 2 + 1 + 6 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1669434288.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Family Medicine
1800 LAWRENCE DR
DE PERE, WI 54115
Family Medicine
1800 LAWRENCE DR
DE PERE, WI 54115
Family Medicine
1800 LAWRENCE DR
DE PERE, WI 54115
Obstetrics & Gynecology
1800 LAWRENCE DR
DE PERE, WI 54115
Family Medicine
1800 LAWRENCE DR
DE PERE, WI 54115
Family Medicine
1800 LAWRENCE DR
DE PERE, WI 54115
Social Worker (Clinical)
1800 LAWRENCE DR
DE PERE, WI 54115
Podiatrist
1800 LAWRENCE DR
DE PERE, WI 54115
Physician Assistant
1800 LAWRENCE DR
DE PERE, WI 54115
Family Medicine
1800 LAWRENCE DR
DE PERE, WI 54115
Family Medicine
1800 LAWRENCE DR
DE PERE, WI 54115
Physician Assistant
1800 LAWRENCE DR
DE PERE, WI 54115
Internal Medicine
1800 LAWRENCE DR
DE PERE, WI 54115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669434288, enumerated as an "organization" on April 06, 2006.

The provider is located at 1800 LAWRENCE DR DE PERE, WI 54115 and the phone number is (920) 433-3630.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).