OrganizationActive
Autism Society of Greater Wisconsin
NPI 1629636873 · Voluntary or Charitable Agency · Menasha, WI
Autism Society of Greater Wisconsin is a Voluntary or Charitable Agency organization in Menasha, WI (NPI 1629636873).
Provider details
- NPI number
- 1629636873
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kelly Brodhagen, Office Manager(920) 558-4602
Specialties & taxonomies
Agencies
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1477 Kenwood Dr Ste 100
Menasha, WI 54952-1160
Phone: (920) 558-4602
Fax: (920) 558-4611
Street-level locationGet directions
Mailing address
1477 Kenwood Dr Ste 100
Menasha, WI 54952-1160
Other names (DBA / former)
- Former legal business name
- Autism Society of Wisconsin
Registry dates
- Enumerated
- 2019-06-03
- Last updated
- 2019-06-03
Frequently asked questions
- What is Autism Society of Greater Wisconsin's NPI number?
- Autism Society of Greater Wisconsin's National Provider Identifier (NPI) is 1629636873, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Autism Society of Greater Wisconsin?
- Autism Society of Greater Wisconsin is classified in the NPPES registry as Voluntary or Charitable Agency (Agencies).
- Where is Autism Society of Greater Wisconsin located?
- Autism Society of Greater Wisconsin's practice location on file with NPPES is 1477 Kenwood Dr Ste 100, Menasha, WI 54952-1160.
- What is Autism Society of Greater Wisconsin's phone number?
- The practice phone number listed in the NPPES registry for Autism Society of Greater Wisconsin is (920) 558-4602.
- Who is the authorized official for Autism Society of Greater Wisconsin?
- The authorized official listed on Autism Society of Greater Wisconsin's NPPES record is Kelly Brodhagen, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Autism Society of Greater Wisconsin's NPI active?
- Yes — Autism Society of Greater Wisconsin's NPI (1629636873) is active in the NPPES registry as of the last update on 2019-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.