My Innovative Services
NPI 1790067890 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Green Bay, WI
My Innovative Services is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Green Bay, WI (NPI 1790067890).
Provider details
- NPI number
- 1790067890
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Marsha Burklund, Controller(920) 431-0962
- License
- 320900000X (WI)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 320900000X (WI)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Mailing address
Registry dates
- Enumerated
- 2011-09-14
- Last updated
- 2011-09-14
Frequently asked questions
- What is My Innovative Services's NPI number?
- My Innovative Services's National Provider Identifier (NPI) is 1790067890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is My Innovative Services?
- My Innovative Services is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is My Innovative Services located?
- My Innovative Services's practice location on file with NPPES is 445 S Madison St, Green Bay, WI 54301-4126.
- What is My Innovative Services's phone number?
- The practice phone number listed in the NPPES registry for My Innovative Services is (920) 431-0962.
- Who is the authorized official for My Innovative Services?
- The authorized official listed on My Innovative Services's NPPES record is Marsha Burklund, Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is My Innovative Services's NPI active?
- Yes — My Innovative Services's NPI (1790067890) is active in the NPPES registry as of the last update on 2011-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.