Kristin Mary Wegner, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2675-057 Issued in WI

Practice address

1802 Warden St
Eau Claire, WI 54703-4960

Phone

(715) 552-1620

Fax

(715) 552-2734

NPI assigned

Aug 28, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Autism and Behavior Center Inc

  • Clinical Psychologist
  • Altoona, WI
  • NPI 1952423337
  NPD (past) Authorized official

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1619125093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 WARDEN ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547034960",
            "telephone_number": "715-552-1620",
            "fax_number": "715-552-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 WARDEN ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547034960",
            "telephone_number": "715-552-1620",
            "fax_number": "715-552-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGNER",
        "first_name": "KRISTIN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2675-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40984200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Weber, OTR/L
• Takoya Lynn Weber
• David Randolph Webster, ATC
• Jeanne Marie Weggel, APNP
• William J Weggel, MD
• Paige Wegner, MS, LPCC, LPC
• Angela K Weideman, LMFT
• Jordan Weil, DC
• Timothy L Weiland, MD
• Frankie Ann Weinberger, P.A.

• Clinical Psychologist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.