AUTISM SOCIETY OF GREATER WISCONSIN
NPI 1629636873
Voluntary or Charitable in Menasha, WI

Q: What is Autism Society Of Greater Wisconsin's NPI number?

The NPI number for Autism Society Of Greater Wisconsin is 1629636873. It was assigned to this organization in the NPPES registry on June 3, 2019. The provider was formerly known as Autism Society of Wisconsin.

Q: What is Autism Society Of Greater Wisconsin's specialty?

The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.

Active since June 03, 2019

1477 KENWOOD DR STE 100, MENASHA, WI 54952(920) 558-4602(920) 558-4611 Get Directions Write a Review

NPPES record last updated: June 3, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Autism Society Of Greater Wisconsin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTISM SOCIETY OF GREATER WISCONSIN (NPI 1629636873), doing business as Autism Society Of Wisconsin, is a healthcare organization registered as a voluntary or charitable in Menasha, Wisconsin and active in the NPI registry since June 2019. The organization lists Kelly Brodhagen, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1629636873

Entity TypeOrganization

Primary Taxonomy251V00000X

Legal Business NameAUTISM SOCIETY OF GREATER WISCONSIN

Location Address1477 KENWOOD DR STE 100Menasha, WI 54952-1160

Mailing Address1477 Kenwood Dr Ste 100Menasha, WI 54952-1160 · (920) 558-4602 · Fax (920) 558-4611

Phone(920) 558-4602

Fax(920) 558-4611

Organization SubpartNo

Authorized OfficialKelly BrodhagenOffice Manager · (920) 558-4602

Enumeration DateJune 3, 2019

✔ NPI 1629636873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyVoluntary or CharitableAgencies

Taxonomy Code251V00000X

1477 KENWOOD DR STE 100, Menasha, WI 54952

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Other Names 1

Former Legal Business NameAutism Society Of Wisconsin

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Autism Society Of Greater Wisconsin's NPI number?

The NPI number for Autism Society Of Greater Wisconsin is 1629636873. It was assigned to this organization in the NPPES registry on June 3, 2019. The provider was formerly known as Autism Society of Wisconsin.

Where is Autism Society Of Greater Wisconsin located?

Autism Society Of Greater Wisconsin is located at 1477 Kenwood Dr Ste 100, Menasha, WI 54952. The listed phone number is (920) 558-4602.

What is Autism Society Of Greater Wisconsin's specialty?

The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.

When was this NPI record last updated?

The NPPES record for Autism Society Of Greater Wisconsin was last updated on June 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.