FAMILY SERVICES OF NORTHEAST WISCONSIN, INC. – NPI #1225155245
Psychiatric Residential Treatment Facility

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

FAMILY SERVICES OF NORTHEAST WISCONSIN, INC. is a psychiatric residential treatment facility located in GREEN BAY, WI. NPPES has assigned the NPI number 1225155245 to FAMILY SERVICES OF NORTHEAST WISCONSIN, INC. on March 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. FAMILY SERVICES OF NORTHEAST WISCONSIN, INC. is also known by the name FAMILY SERVICES - RESIDENTIAL TREATMENT. The primary taxonomy selected by this provider is 323P00000X from the Health Care Provider Taxonomy code set, which is classified as Psychiatric Residential Treatment Facility.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAMILY SERVICES OF NORTHEAST WISCONSIN, INC. below.

NPI Profile for
FAMILY SERVICES OF NORTHEAST WISCONSIN, INC.

NPI Number
1225155245
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAMILY SERVICES OF NORTHEAST WISCONSIN, INC.
Other Name: FAMILY SERVICES - RESIDENTIAL TREATMENT
Primary location
3430 SPIRIT WAY
GREEN BAY, WI 54304-5687
Phone: (920) 330-0339 Fax: (920) 330-9060
Mailing address
300 CROOKS ST
GREEN BAY, WI 54301-4527
Phone: (920) 436-6800 Fax:
Organization Subpart
No
Authorized Official
THOMAS MARTIN
PRESIDENT-CEO
Phone: (920) 436-6800
Updated
Identifiers

Identifiers for FAMILY SERVICES OF NORTHEAST WISCONSIN, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI43016200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
323P00000X
- Psychiatric Residential Treatment Facility (Primary)
WI 1005260

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.