Gondeck Services LLC

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

GONDECK SERVICES LLC

Practice address

2006 Park Ave
Oconto, WI 54153-9600

Phone

(920) 600-4622

NPI assigned

Jul 23, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Gabriel H Gondeck

Title

Owner/Operator

Phone

(920) 600-4622

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1497583389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 PARK AVE",
            "city": "OCONTO",
            "state": "WI",
            "postal_code": "541539600",
            "telephone_number": "920-600-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 PARK AVE",
            "city": "OCONTO",
            "state": "WI",
            "postal_code": "541539600",
            "telephone_number": "920-600-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONDECK SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-21",
        "status": "A",
        "authorized_official_last_name": "GONDECK",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "920-600-4622",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Daniel Dittloff, MS, LPC
• Lori Jo Eklund Walsh, LCSW,LPC,SAC
• Michele Exworthy, R.N.
• Kirstin L Filkey, RDH
• Kelly A Foust, PT
• Green Bay Allergy Asthma & Immunology S.C. Oconto
• Kimberly Guerrero, LCSW CSAC
• Christopher Hanke, LPC, SAC
• Charles J Heyka, MD
• Leah Hillberg

• All providers in Oconto, WI
• Day Training/Habilitation Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.