Children's Medical Group, INC

NPI #1154211191 in Green Bay, Wisconsin

Provider Information

NPI Number: 1154211191
Entity Type: Organization
Organization Name: Children's Medical Group, INC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 9, 2025
Last Updated: Jul 9, 2025

Practice Location

Address: 301 E SAINT JOSEPH ST
City: Green Bay
State: Wisconsin
ZIP Code: 54301-2241
Phone: (920) 404-2250

Authorized Official

Name: SHEILA REUTEMAN
Title: SR. CREDENTIALING COORDINATOR
Phone: (414) 266-7615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Social Worker - Clinical — Clinical	1041C0700X
Marriage & Family Therapist	106H00000X
Pediatrics - Developmental - Behavioral Pediatrics — Developmental - Behavioral Pediatrics	2080P0006X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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