OrganizationActive
Agnesian Healthcare
NPI 1700817657 · Mental Health Clinic/Center (Including Community Mental Health Center) · Beaver Dam, WI
Provider details
- NPI number
- 1700817657
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Salasek, Clinic Director(920) 885-2780
- License
- 1753 (WI)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 1753 (WI)
Ambulatory Health Care Facilities
Practice location
200 Front St
Suite 3d
Beaver Dam, WI 53916-1667
Phone: (920) 885-2780
Fax: (920) 885-2788
Approximate (ZIP-level) locationGet directions
Mailing address
200 Front St
Beaver Dam, WI 53916-1667
Other names (DBA / former)
- Doing business as
- Psychiatric Associates
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2007-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.