WILLOW CREEK BEHAVIORAL HEALTH
NPI 1861993172
Psychiatry & Neurology - Psychiatry in Green Bay, WI

NPI Status: Active since February 22, 2018

Contact Information

1351 ONTARIO RD
GREEN BAY, WI
ZIP 54311
Phone: (920) 328-1220

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry
  • CLIA Number: 52D2122412
  • CLIA Cert. Type: Waiver
  • CLIA Exp. Date: 11-28-2024

About WILLOW CREEK BEHAVIORAL HEALTH

Willow Creek Behavioral Health is a hospital serving the Green Bay, Wisconsin region. The facility is a psychiatry & neurology. The NPI number of this hospital is 1861993172 assigned on February 2018. The hospital's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Willow Creek Behavioral Health. The authorized official of this NPI record is Paul Gilbert (Chief Legal Officer)

NPI
1861993172
Provider Legal Name
SBH-GREEN BAY LLC
Other Organization Name
WILLOW CREEK BEHAVIORAL HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1351 ONTARIO RD GREEN BAY, WI 54311
Location Phone
(920) 328-1220
Mailing Address
8295 TOURNAMENT DR STE 201 MEMPHIS, TN 38125
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
02-22-2018
Last Update Date
09-29-2023
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A psychiatrist like Willow Creek Behavioral Health are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

According to the Hospital Compare program data, Willow Creek Behavioral Health doesn't have an overall quality rating because data are shown only for hospitals that participate in the inpatient quality reporting (iqr) and outpatient quality reporting (oqr) programs.

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

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Common Ground Healthcare Cooperative

    • CGHC Bronze $6000 - Envision Network - EPO
    • CGHC Bronze $6000 - Envision Network (Vision Exam) - EPO
    • CGHC Bronze $9450 ($35 PCP Copay) - Envision Network - EPO
    • CGHC Bronze $9450 ($35 PCP Copay) - Envision Network (Vision Exam) - EPO
    • CGHC Bronze Standard $7500 - Envision Network - EPO
    • CGHC Catastrophic $9450 - Envision Network - EPO
    • CGHC Copay Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
    • CGHC Copay Bronze $0 Ded / $2250 Rx Ded - Envision Network (Dental/Vision Exam) - EPO
    • CGHC Copay Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
    • CGHC Copay Gold $0 Ded - Envision Network - EPO
    • CGHC Copay Gold $0 Ded - Envision Network (Vision Exam) - EPO
    • CGHC Gold $1800 - Envision Network - EPO
    • CGHC Gold $1800 - Envision Network (Vision Exam) - EPO
    • CGHC Gold $3000 - Envision Network - EPO
    • CGHC Gold $3000 - Envision Network (Vision Exam) - EPO
    • CGHC Gold Standard $1500 - Envision Network - EPO
    • CGHC HSA Bronze $7500 - Envision Network - EPO
    • CGHC HSA Bronze $7500 - Envision Network (Vision Exam) - EPO
    • CGHC HSA Gold $3200 - Envision Network - EPO
    • CGHC HSA Gold $3200 - Envision Network (Vision Exam) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

PAUL GILBERT

Authorized Official Title
CHIEF LEGAL OFFICER
Authorized Official Phone
(615) 716-4924

Hospital Compare Quality Information

Star ratings information gives patients a useful way to compare local hospitals by highlighting important quality factors like readmissions, mortality, safety of care, patient experience and timely and effective care. The ratings are presented as stars, ranging from 1 to 5. A higher number of stars indicates better performance in each quality aspect.

  • Overall Quality Rating Not Available - Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.

    The overall rating is calculated by taking the weighted average of these group of scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.

  • Hospital Type Psychiatric - Proprietary

  • Emergency Services: No

    Shows if the hospital provides emergency services like acute medical care or trauma care.

  • Meaningful Use of Electronic Health Records:

    Shows if the hospital meets the criteria for promoting interoperability of Electronic Health Record Systems (EHRS).

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
52D2122412
Facility Type
Hospital
Certificate Effective Date
November 29, 2022
Certificate Expiration Date
November 28, 2024
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Willow Creek Behavioral Health 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.

Reviews for WILLOW CREEK BEHAVIORAL HEALTH

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1861993172
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281211896114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 2 + 1 + 1 + 8 + 9 + 6 + 1 + 1 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1861993172 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386750115DR. PETER M FISCHER MD
Individual
Psychiatry & Neurology (Psychiatry)1351 ONTARIO RD
GREEN BAY, WI 54311
(920) 983-9633
1629513973VERSTEHEN, LLC
Organization
Psychiatry & Neurology (Psychiatry)1351 ONTARIO RD
GREEN BAY, WI 54311
(920) 983-9633
1790312171SEQUOIA INTEGRATIVE MEDICAL SERVICES LLC
Organization
Family Medicine1351 ONTARIO RD
GREEN BAY, WI 54311
(920) 328-1220
1023713039 THOMAS RENK PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)1351 ONTARIO RD
GREEN BAY, WI 54311
(920) 328-1220
1922556778SBH-GREEN BAY LLC
Organization
Psychiatric Hospital1351 ONTARIO RD
GREEN BAY, WI 54311
(901) 969-3100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861993172, enumerated in the NPI registry as an "organization" on February 22, 2018

The provider is located at 1351 Ontario Rd Green Bay, Wi 54311 and the phone number is (920) 328-1220

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry

The provider might be accepting Accepts: Common Ground Healthcare Cooperative. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 52D2122412 for a "hospital" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on February 22, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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