Goodwill Industries of Northern Wisconsin and Upper Michigan Inc.

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

GOODWILL INDUSTRIES OF NORTHERN WISCONSIN AND UPPER MICHIGAN INC.

Practice address

1805 Pierce Ave
Marinette, WI 54143-3339

Phone

(715) 732-0563

NPI assigned

Oct 9, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Erik Bergh

Title

Sr. Director, Workforce Development

Phone

(906) 273-1830

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1467927145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RUBLEIN ST STE A",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554060",
            "telephone_number": "906-273-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 PIERCE AVE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541433339",
            "telephone_number": "715-732-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF NORTHERN WISCONSIN AND UPPER MICHIGAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "BERGH",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "SR. DIRECTOR, WORKFORCE DEVELOPMENT",
        "authorized_official_telephone_number": "906-273-1830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Gauthier, PT, DPT
• Lucas D Gauthier, DPT
• Elaine Gavaras, NP
• Erika Marie Goddard, APNP
• Beth A Goetzman, APNP
• David Garrett Gossman, M.D.
• Jacqueline A Gouge, APNP
• Erik K Graglia, OCCUPATIONAL THERAPI
• Alison Granquist, LCSW
• Great Blue Dental, LLC

• Day Training/Habilitation Specialist in Marinette, WI
• Providers in Marinette, WI by specialty
• Day Training/Habilitation Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.