Individual provider Active NPI

Marietta Magdalena Wojtecka

  • Clinical Psychologist
  • Cedarburg, WI
National Provider Identifier
1376489849
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4156-57 Issued in WI
Practice address
W68N438 Evergreen Blvd
Cedarburg, WI 53012-2224
Phone
(414) 364-4493
NPI assigned
Apr 27, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 4156-57 WI Primary

Addresses

Primary practice location

W68N438 Evergreen Blvd
Cedarburg, WI 53012-2224

Mailing address

W68N438 Evergreen Blvd
Cedarburg, WI 53012-2224
Phone (414) 364-4493

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
4156-57WIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Falcon Psychological Servics Clinical Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1376489849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W68N438 EVERGREEN BLVD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122224",
            "telephone_number": "414-364-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W68N438 EVERGREEN BLVD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122224",
            "telephone_number": "414-364-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJTECKA",
        "first_name": "MARIETTA",
        "middle_name": "MAGDALENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "4156-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.