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Dr. Stephen Pongonis

Psychologist Clinical Psychologist Forensic Psychologist Clinical Child & Adolescent Psychologist and 2 more

1400 Bellinger St
Eau Claire , Wisconsin 54703-5222

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Clinical Psychologist
  • Psychologist
  • Clinical Child & Adolescent Psychologist
  • Forensic Psychologist

Languages spoken

  • English

Location

1400 Bellinger St Eau Claire , Wisconsin 54703-5222

First Address

  • Dr. Stephen Pongonis
  • Po Box 1510
  • Eau Claire, WI
  • Zip : 54702-1510
  • Phone : (715) 838-5222

Second Address

  • Dr. Stephen Pongonis
  • 1400 Bellinger St
  • Eau Claire, WI
  • Zip : 54703-5222
  • Phone : (715) 838-5222

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FAQs


Where did Dr. Stephen Pongonis attend graduate school?

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Where did Dr. Stephen Pongonis do his residency?

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Where did Dr. Stephen Pongonis do his fellowship?

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Is Dr. Stephen Pongonis board certified?

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What type of doctor is Dr. Stephen Pongonis

Clinical Psychologist

In what state does Dr. Stephen Pongonis practice in?

Wisconsin

Where is Dr. Stephen Pongonis ’s practice located?

1400 Bellinger St , Eau Claire, Wisconsin, 54703-5222

What is Dr. Stephen Pongonis ’s gender?

Male

Is Dr. Stephen Pongonis a sole practitioner?

No

Is Dr. Stephen Pongonis accepting new patients?

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What languages does Dr. Stephen Pongonis speak?

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Does Dr. Stephen Pongonis accept insurance?

Yes, Dr. Stephen Pongonis accepts insurance

Does Dr. Stephen Pongonis offers telemedicine?

Dr. Stephen Pongonis has not indicated if he offers telemedicine

What is Dr. Stephen Pongonis ’s professional license number?

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What is Dr. Stephen Pongonis ’s NPI number?

1114941572

Does Dr. Stephen Pongonis have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 103G00000X Clinical Psychologist 20042019A IN
N 103TC0700X Clinical Psychologist 20042019A IN
N 102L00000X Psychologist 2781 WI
N 103T00000X Psychologist 2781 WI
N 103G00000X Clinical Psychologist 20042019A IN
N 103TC0700X Clinical Psychologist 20042019A IN
Y 103G00000X Clinical Psychologist 2781 WI
Y 103TC0700X Clinical Psychologist 2781 WI
N 103TC2200X Clinical Child & Adolescent Psychologist 20042019A IN
N 103TF0200X Forensic Psychologist 20042019A IN

National Provider Identifier

NPI 1114941572
Provider Name Dr. Stephen Pongonis
First Address Eau Claire, WI 54702-1510
Second Address Eau Claire, WI 54703-5222
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 27/07/2006
Last Update Date 15/09/2020

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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