Active NPI
Stephen F Seaman, PHD
- Clinical Psychologist
- Fort Atkinson, WI
National Provider Identifier
1891716924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 887-057
- Practice address
- 1520 Madison Ave
Fort Atkinson, WI 53538-3100 - Phone
- (920) 563-4224
- Fax
- (920) 563-4472
- NPI assigned
- Jul 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 887-057 | WI | Primary |
Addresses
Primary practice location
1520 Madison Ave
Fort Atkinson, WI 53538-3100
Mailing address
1520 Madison Ave
Fort Atkinson, WI 53538-3100
Phone (920) 563-4224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39030300 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 887-057 | WI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415750400000",
"number": "1891716924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 MADISON AVE",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535383100",
"telephone_number": "920-563-4224",
"fax_number": "920-563-4472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 MADISON AVE",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535383100",
"telephone_number": "920-563-4224",
"fax_number": "920-563-4472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEAMAN",
"first_name": "STEPHEN",
"middle_name": "F",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2014-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "887-057",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39030300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Atkinson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.