ECUMENICAL HEALTH CENTER NPI 1396936175

NPI Information

NPI: 1396936175
Provider Name: ECUMENICAL HEALTH CENTER
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Doing Business As: AUTISM RESOURCES & SERVICES
Address: 1540 CAPITOL DR
SUITE 104
GREEN BAY, WI
ZIP 54303
Phone: (920) 491-9800

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NPI Details

ECUMENICAL HEALTH CENTER is a mental health (including community mental health center) clinic center in Green Bay, WI. ECUMENICAL HEALTH CENTER NPI is 1396936175. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Autism Resources & Services.

The provider's business location address is:

1540 CAPITOL DR
SUITE 104
GREEN BAY, WI
ZIP 54303-235
Phone: (920) 491-9800
Fax: (920) 491-9800

The provider's authorized official is James Paul Heider .
The authorized official title is Licensed Psychologist and has the following contact phone number (920) 491-9800.

The enumeration date for this NPI number is 8/6/2007 and was last updated on 8/6/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC1900X	Psychologist	Counseling	970057	WISCONSIN	No
2	251S00000X	Community/Behavioral Health		104124	WISCONSIN	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	104124	WISCONSIN	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	970057	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	39081000	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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