Individual provider Active NPI

Dennis E. Elsenrath, EDD

  • Psychologist
  • Stevens Point, WI
National Provider Identifier
1366781627
Registry record updated Oct 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
453-57 Issued in WI
Practice address
1052 Main St
Ste 202
Stevens Point, WI 54481-2848
Phone
(715) 343-5256
Fax
(715) 343-5899
NPI assigned
Feb 6, 2013
Last updated
Oct 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 453-57 WI Primary

Addresses

Primary practice location

1052 Main St
Ste 202
Stevens Point, WI 54481-2848

Mailing address

1052 Main St
Ste 202
Stevens Point, WI 54481-2848
Phone (715) 343-5256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
453-57WIMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792281600000",
    "number": "1366781627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 MAIN ST",
            "address_2": "STE 202",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812848",
            "telephone_number": "715-343-5256",
            "fax_number": "715-343-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 MAIN ST",
            "address_2": "STE 202",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812848",
            "telephone_number": "715-343-5256",
            "fax_number": "715-343-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSENRATH",
        "first_name": "DENNIS",
        "middle_name": "E.",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-06",
        "last_updated": "2026-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "453-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.