Active NPI
Steven Matthew Charpentier, PSYD, LP
- Clinical Psychologist
- New Richmond, WI
National Provider Identifier
1902158595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4039-57
- Practice address
- 137 E 3Rd St
New Richmond, WI 54017-1830 - Phone
- (715) 781-9542
- Fax
- (715) 430-2261
- NPI assigned
- Oct 8, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4039-57 | WI | Primary |
| Professional Counselor | 101YP2500X | 5544-125 | WI |
Addresses
Primary practice location
137 E 3Rd St
New Richmond, WI 54017-1830
Mailing address
609 5TH Ave
Clear Lake, WI 54005-3928
Phone (715) 781-9542
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5544-125 | WI | MD | Professional Counselor |
| 4039-57 | WI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charpentier Psychology, LLC | Current | Accepting new patients | |
| Refresh Midwest Operations, SC | Past | Accepting new patients | |
| Family Therapy Associates, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- New Richmond, WI
- NPI 1326822487
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Richmond, WI
- NPI 1215239736
-
- Psychologist
- Hudson, WI
- NPI 1932625357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1902158595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 5TH AVE",
"city": "CLEAR LAKE",
"state": "WI",
"postal_code": "540053928",
"telephone_number": "715-781-9542",
"fax_number": "715-430-2261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 E 3RD ST",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540171830",
"telephone_number": "715-781-9542",
"fax_number": "715-430-2261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARPENTIER",
"first_name": "STEVEN",
"middle_name": "MATTHEW",
"credential": "PSYD, LP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-08",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "4039-57",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "5544-125",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Richmond, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.