OrganizationActive
Shelley Boehm Mattia Md,adult Psychiatry, LLC
NPI 1427410992 · Adult Mental Health Clinic/Center · Green Bay, WI
Provider details
- NPI number
- 1427410992
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Shelley Boehm Mattia, Licensed Physician
- License
- 39641 (WI)
Practice location
428 Doty St
Green Bay, WI 54301-4509
Phone: (920) 965-6768
Fax: (920) 965-6769
Mailing address
428 Doty St
Green Bay, WI 54301-4509
Registry dates
- Enumerated
- 2016-03-24
- Last updated
- 2016-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.