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My Innovative Services

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Green Bay, WI · enumerated 2011 · authorized official Marsha Burklund, Controller.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790067890

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Registry record

Entity type Organization (Type 2)
Legal business name My Innovative Services
Practice address 445 S Madison St, Green Bay, WI, 54301
Phone (920) 431-0962
Fax (920) 884-1967
Enumeration date Sep 14, 2011
Last updated in NPPES Sep 14, 2011

Taxonomy & classification

320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities · License 320900000X (WI) Primary

Authorized official

Name Marsha Burklund
Title Controller
Phone (920) 431-0962

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is My Innovative Services located?
The practice location on file with NPPES is in Green Bay, WI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-09-14. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-09-14.