Organization Active NPI

T.S. Altepeter, PH.D. SC

  • Clinical Psychologist
  • Oshkosh, WI
National Provider Identifier
1760611396
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1320-057 Issued in WI
Legal business name
T.S. ALTEPETER, PH.D. SC
Practice address
1936 Algoma Blvd
Suite B
Oshkosh, WI 54901-2104
Phone
(920) 385-7273
Fax
(920) 385-0140
NPI assigned
Jul 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Authorized official

Name
Dr. Thomas S Altepeter, PH.D.
Title
Psychologist
Phone
(920) 385-7273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1320-057 WI Primary

Addresses

Primary practice location

1936 Algoma Blvd
Suite B
Oshkosh, WI 54901-2104

Mailing address

1936 Algoma Blvd
Suite B
Oshkosh, WI 54901-2104
Phone (920) 385-7273

Other identifiers 1

IdentifierTypeStateIssuer
39085000MedicaidWI

National Provider Directory

National Provider Directory

Locations

1936 Algoma Blvd
#B
Oshkosh, WI 54901
Phone (920) 385-7273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1760611396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 ALGOMA BLVD",
            "address_2": "SUITE B",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549012104",
            "telephone_number": "920-385-7273",
            "fax_number": "920-385-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 ALGOMA BLVD",
            "address_2": "SUITE B",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549012104",
            "telephone_number": "920-385-7273",
            "fax_number": "920-385-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.S. ALTEPETER, PH.D. SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "ALTEPETER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "920-385-7273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1320-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39085000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.