Goodwill Industries of North Central Wi

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

GOODWILL INDUSTRIES OF NORTH CENTRAL WI

Practice address

1800 Appleton Road
Menasha, WI 54952

Phone

(920) 731-6601

Fax

(920) 968-6977

NPI assigned

Sep 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen A White

Title

Cfo

Phone

(920) 731-6601

Specialties & licenses 2

Addresses

Other names 1

• Beyond Boundaries of Autison Doing business as

Tax ID family

Beyond Boundaries of Autison2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Goodwill Industries of North Central Wisconsin Inc

  • Clinic/Center
  • Menasha, WI
  • NPI 1649346990
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1376647388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 APPLETON ROAD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "54952",
            "telephone_number": "920-731-6601",
            "fax_number": "920-968-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 APPLETON ROAD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "54952",
            "telephone_number": "920-731-6601",
            "fax_number": "920-968-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF NORTH CENTRAL WI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "920-731-6601"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beyond Boundaries of Autison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann M Gierl, DO
• Andrew Stanley Goebel
• Yvette Samantha Goebel, PH.D
• Gold Cross Ambulance Service Inc
• Jill M Goldstein, CSAC
• Goodwill Industries of North Central Wisconsin Inc
• Nicholas A Goranson, COTA
• Sarah Ann Goranson, MS, OTR
• Danielle Grall
• Catherine Gray

• Psychologist in Menasha, WI
• Providers in Menasha, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.