Individual provider Active NPI

Linda J. Steffen, PSY.D.

  • Psychologist
  • Appleton, WI
National Provider Identifier
1720155328
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2215-57 Issued in WI
Practice address
444 N Westhill Blvd
Appleton, WI 54914-5715
Phone
(920) 750-7000
Fax
(920) 364-2451
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2215-057 WI
Psychologist 103T00000X 2215-57 WI Primary

Addresses

Primary practice location

444 N Westhill Blvd
Appleton, WI 54914-5715

Mailing address

444 N Westhill Blvd
Appleton, WI 54914-5715
Phone (920) 750-7000

Other identifiers 1

IdentifierTypeStateIssuer
39704200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100109000056 WI Practitioner - Clinical Psychologist 8022159250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1531 S Madison St
Suite 580
Appleton, WI 54915-1800
Phone (920) 730-4411

Hospital & facility affiliations

  • Ascension NE Wisconsin - St Elizabeth Campus Hospital, Appleton, WI, CCN 520009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2215-057WIMDPsychologist
2215-57WIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Jan 7, 2019 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Jan 7, 2019 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Jan 7, 2019 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Jan 7, 2019 Accepting new patients

Locations

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

1531 S Madison St
Ste 580
Appleton, WI 54915
Phone (920) 730-4411

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1720155328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N WESTHILL BLVD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549145715",
            "telephone_number": "920-750-7000",
            "fax_number": "920-364-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N WESTHILL BLVD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549145715",
            "telephone_number": "920-750-7000",
            "fax_number": "920-364-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFFEN",
        "first_name": "LINDA",
        "middle_name": "J.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2215-057",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2215-57",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39704200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.