OrganizationActiveAccepts Medicare
State of Wisconsin
NPI 1164516506 · Psychiatric Hospital · Winnebago, WI
Enrolled with Medicare as Part a Provider - Hospital · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1164516506
- Entity type
- Organization
- Primary specialty
- Psychiatric HospitalHospitals
- Organization subpart
- No
- Authorized official
- Robert Kneepkens, Director(920) 235-4910
- License
- 250 (WI)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1300 South Drive
Winnebago, WI 54985-0009
Phone: (920) 235-4910
Fax: (920) 237-2043
Street-level locationGet directions
Mailing address
1300 South Drive
Winnebago, WI 54985-0009
Other names (DBA / former)
- Other name
- Winnebago Mental Health Institute
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2008-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.