Healthcare Provider Details

I. General information

NPI: 1184563009
Provider Name (Legal Business Name): ASCEND PSYCHIATRY SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

812 CORMIER RD # 203
GREEN BAY WI
54304-4707
US

IV. Provider business mailing address

812 CORMIER RD # 203
GREEN BAY WI
54304-4707
US

V. Phone/Fax

Practice location:
  • Phone: 920-709-9964
  • Fax: 920-214-9647
Mailing address:
  • Phone: 920-709-9964
  • Fax: 920-214-9647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: NEHA THAPA
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 920-709-9964