Individual provider Active NPI

Deborah Ann Contreras-Tadych, PHD

  • Clinical Psychologist
  • Milwaukee, WI
National Provider Identifier
1679582563
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2983-57 Issued in WI
Practice address
4369 S Howell Ave Ste 306
Milwaukee, WI 53207-5055
Phone
(414) 999-0102
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 3288 WI
Clinical Psychologist 103TC0700X 2983-57 WI Primary
Professional Counselor 101YP2500X 3288125 WI

Addresses

Primary practice location

4369 S Howell Ave Ste 306
Milwaukee, WI 53207-5055

Mailing address

1842 Wellsprings CT
Oconomowoc, WI 53066-4875
Phone (414) 899-4023

Other identifiers 1

IdentifierTypeStateIssuer
40943500MedicaidWI

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3288125WIMDProfessional Counselor
3288WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Therayology, LLC Professional CurrentSince Jun 29, 2025 Accepting new patients

Locations

4369 S Howell Ave
Ste 306
Milwaukee, WI 53207
Phone (414) 999-0102

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1679582563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 WELLSPRINGS CT",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664875",
            "telephone_number": "414-899-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4369 S HOWELL AVE STE 306",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532075055",
            "telephone_number": "414-999-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS-TADYCH",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "3288",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2983-57",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3288125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40943500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.