STEPHEN PAUL DALCERRO (NPI# 1477612836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477612836 |
| Entity Type | Individual |
| Full Name | STEPHEN PAUL DALCERRO |
| Credential | PH.D. |
| Practice Address |
409 Cty Rd R Black River Falls WI 54615 |
| Mailing Address |
1707 Main St La Crosse WI 54601-4200 |
| Practice Telephone | 7152849477 |
| Practice Fax Number | 7152845547 |
| Mailing Telephone | 6087850001 |
| Mailing Fax Number | 6087850002 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2010-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
1949-057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39683800 | 05 | |
| MN | UCARE | 180056 | 01 |
| SECURITY HEALTH PLAN | 49948 | 01 |
| Street Address |
409 CTY RD R |
| City | BLACK RIVER FALLS |
| State | WI |
| Zip Code | 54615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104339118 | Lori Jean Mohring | Counselor | 420 Wi-54, Black River Falls, WI 54615 | 2017-11-13 |
| 1184095788 | Robert Anthony Zupancich | Pharmacist | 611 Hwy 54 East, Black River Falls, WI 54615 | 2015-10-08 |
| 1932545902 | Hera Jane Lonetree-rindahl | Counselor | W9850 Airport Rd, Black River Falls, WI 54615 | 2013-05-17 |
| 1902141344 | Mary Jane Jones | Pharmacist | 610 West Adams St., Black River Falls, WI 54615 | 2012-12-11 |
| 1285905844 | Vera Ellen Heubel | Registered Nurse | N6520 Lumber Jack Guy Road, Black River Falls, WI 54615 | 2012-01-13 |
| 1295048361 | Megan Ryan | Dentist | N6571 Lumberjack Guy Road, Black River Falls, WI 54615 | 2010-07-19 |
| 1912147828 | Evangeline M Suquet | Counselor | W9850 Airport Road, Black River Falls, WI 54615 | 2009-03-05 |
| 1407091192 | Holly Kay Rodenberg | Registered Nurse | N6520 Lumber Jack Guy Rd, Black River Falls, WI 54615 | 2008-12-09 |
| 1841467636 | Pamela Listle | Speech-Language Pathologist | 711 West Adams St., Black River Falls, WI 54615 | 2008-05-12 |
| 1285778969 | Black River Family Dentistry Ltd | Dentist | N6625 County Hwy A, Black River Falls, WI 54615 | 2007-02-16 |
| Find all providers in zip 54615 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538791058 | Trina Willetta Cox | Psychologist | 7816 W Bender Ave Apt 1, Milwaukee, WI 53218-1127 | 2020-02-12 |
| 1598862633 | Cynthia L Solliday | Psychologist | 12802 W Hampton Ave, Butler, WI 53007-1606 | 2006-09-20 |
| 1912069626 | John Clemens Laney | Psychologist | 12 W Marshall St, Suite 100, Rice Lake, WI 54868-2741 | 2006-12-16 |
| 1639239544 | Mary M Papandria | Psychologist | 4131 W Loomis Rd, Suite 300, Greenfield, WI 53221-2057 | 2006-12-11 |
| City | BLACK RIVER FALLS |
| Zip Code | 54615 |
Please comment or provide details below to improve the information on STEPHEN PAUL DALCERRO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.