SUN PRAIRIE PSYCHOLOGICAL SERVICES
NPI 1306991682
Psychologist - Clinical in Sun Prairie, WI

Active since January 24, 2007
705 W MAIN ST, SUITE 3, SUN PRAIRIE, WI 53590(608) 825-6663(608) 825-6946 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sun Prairie Psychological Services NPPES

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

SUN PRAIRIE PSYCHOLOGICAL SERVICES (NPI 1306991682) is a healthcare organization registered as a clinical in Sun Prairie, Wisconsin and active in the NPI registry since January 2007. The organization lists Lawrence James Stava, Partner, as its authorized official.

NPPES Registry Identity

NPI1306991682
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSUN PRAIRIE PSYCHOLOGICAL SERVICES
Location Address705 W MAIN ST, SUITE 3Sun Prairie, WI 53590-2849
Mailing Address705 W Main St, Suite 3Sun Prairie, WI 53590-2849 · (608) 825-6663 · Fax (608) 825-6946
Fax(608) 825-6946
Organization SubpartNo
Authorized OfficialLawrence James StavaPartner · (608) 825-6663
Enumeration DateJanuary 24, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1306991682 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 · 1891
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.
705 W MAIN ST, Sun Prairie, WI 53590

Other Identifiers 1

Medicaid42168100WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Psychologist
705 W MAIN ST, SUITE 3
SUN PRAIRIE, WI 53590
Social Worker (Clinical)
705 W MAIN ST, SUIT 3
SUN PRAIRIE, WI 53590
Psychologist
705 W MAIN ST
SUN PRAIRIE, WI 53590

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 Sun Prairie Psychological Services's NPI number?

The NPI number for Sun Prairie Psychological Services is 1306991682. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is Sun Prairie Psychological Services located?

Sun Prairie Psychological Services is located at 705 W Main St Suite 3, Sun Prairie, WI 53590. The listed phone number is (608) 825-6663.

What is Sun Prairie Psychological Services's specialty?

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

What insurance does Sun Prairie Psychological Services accept?

Health plans from Anthem Blue Cross and Blue Shield list Sun Prairie Psychological Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sun Prairie Psychological Services was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.