Spectrum Behavioral Health LLC
NPI 1053718890 · Community/Behavioral Health Agency · Green Bay, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Spectrum Behavioral Health LLC is a Community/Behavioral Health Agency organization in Green Bay, WI (NPI 1053718890).
Provider details
- NPI number
- 1053718890
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Linda Carmody, Clinic Director(920) 784-2646
- License
- 1826-33 (WI)
Specialties & taxonomies
Agencies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-11-21
- Last updated
- 2015-06-17
Frequently asked questions
- What is Spectrum Behavioral Health LLC's NPI number?
- Spectrum Behavioral Health LLC's National Provider Identifier (NPI) is 1053718890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spectrum Behavioral Health LLC?
- Spectrum Behavioral Health LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Spectrum Behavioral Health LLC located?
- Spectrum Behavioral Health LLC's practice location on file with NPPES is 1496 Bellevue St, Green Bay, WI 54311-4205.
- What is Spectrum Behavioral Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Spectrum Behavioral Health LLC is (920) 784-2644.
- Does Spectrum Behavioral Health LLC accept Medicare?
- Spectrum Behavioral Health LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Spectrum Behavioral Health LLC?
- The authorized official listed on Spectrum Behavioral Health LLC's NPPES record is Linda Carmody, Clinic Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spectrum Behavioral Health LLC's NPI active?
- Yes — Spectrum Behavioral Health LLC's NPI (1053718890) is active in the NPPES registry as of the last update on 2015-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.