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CLIFFORD K STEPHENS PH.D
NPI 1255451688
Psychologist - Clinical in Winnebago, WI

Active since March 30, 2007
1300 SOUTH DRIVE, WINNEBAGO, WI 54985(920) 235-4910(920) 236-2931 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clifford K Stephens Ph.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLIFFORD K STEPHENS PH.D (NPI 1255451688) is an individual clinical provider in Winnebago, Wisconsin, licensed in Wisconsin (2057-057) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1255451688
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameCLIFFORD K STEPHENSCredential: PH.D
Location Address1300 SOUTH DRIVEWinnebago, WI 54985-0009
Mailing Address1071 Goldenrod DrAppleton, WI 54914-8892
Phone(920) 235-4910
Fax(920) 236-2931
Sole ProprietorNo
Enumeration DateMarch 30, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1255451688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WI · 2057-057
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1300 SOUTH DRIVE, Winnebago, WI 54985
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Other Identifiers 2

Medicaid39148100WI
Other2057-057WI · Psychogist No.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOUIS M FULTON MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1300 SOUTH DRIVE, WINNEBAGO MENTAL HEALTH INFORMATION
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
JESSE ELIZABETH CHILDS PA-C
Physician Assistant (Medical)
1300 SOUTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
STATE OF WISCONSIN
Psychiatric Hospital
1300 SOUTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
DR. KIMBERLY SUE HOENECKE D.O.
Psychiatry & Neurology (Psychiatry)
1300 SOUTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
ALEJANDRO A EISMA MD
Internal Medicine
1300 SOUTH DRIVE, WINNEBAGO MENTAL HEALTH INSTITUTE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
KONSTANTIN A MIKHEYEV DO
Family Medicine
1300 SOUTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
KARIN ZODROW
Nurse Practitioner (Family)
1300 SOUTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
JENNIFER PARNELL PA-C
Physician Assistant
1300 SOUTH DRIVE
OSHKOSH, WI 54985
Winnebago County (920) 235-4910

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clifford Stephens's NPI number?

The NPI number for Clifford Stephens is 1255451688. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Clifford Stephens located?

Clifford Stephens practices at 1300 South Drive, Winnebago, WI 54985. The listed phone number is (920) 235-4910.

What is Clifford Stephens's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Clifford Stephens was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.