1. Home
  2. Directory
  3. Wisconsin
  4. Portage
  5. Psychologist
  6. NPI Profile

KELSEY STANGE PSY.D.
NPI 1407380116
Psychologist - Clinical in Portage, WI

Active since April 19, 2017
2925 COLUMBIA DR, PORTAGE, WI 53901(608) 742-9100 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Dec 19, 2017, Nov 14, 2017 and 2 more (5 updates tracked since 2017).

About Kelsey Stange Psy.d. NPPES

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

KELSEY STANGE PSY.D. (NPI 1407380116) is an individual clinical provider in Portage, Wisconsin, licensed in Wisconsin (3323-57) and active in the NPI registry since April 2017. She maintains a secondary practice location in Windsor.

NPPES Registry Identity

NPI1407380116
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKELSEY STANGECredential: PSY.D.
Location Address2925 COLUMBIA DRPortage, WI 53901-9485
Mailing Address2925 Columbia DrPortage, WI 53901-9485
Phone(608) 742-9100
Sole ProprietorNo
Enumeration DateApril 19, 2017
Last NPPES UpdateMarch 17, 20185 updates tracked since enumeration
✔ NPI 1407380116 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 · 3323-57
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.
2925 COLUMBIA DR, Portage, WI 53901
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelsey Johnston Psy.d.

Secondary Practice Location 1

Location 14439 Snowy Ridge TrlWindsor, WI 53598-9694 · Phone (320) 583-1968

Other Providers at the Same Location NPPES 2

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

DALIA SULIENE MD
Internal Medicine
2925 COLUMBIA DR
PORTAGE, WI 53901
Columbia County (608) 742-9100
COLUMBIA CORRECTIONAL INSTITUTION
Clinic/Center
2925 COLUMBIA DR
PORTAGE, WI 53901
Columbia County (608) 742-9100

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 Kelsey Stange's NPI number?

The NPI number for Kelsey Stange is 1407380116. It was assigned to this individual provider in the NPPES registry on April 19, 2017. The provider is also known as Kelsey Johnston Psy.D..

Where is Kelsey Stange located?

Kelsey Stange practices at 2925 Columbia Dr, Portage, WI 53901. The listed phone number is (608) 742-9100.

What is Kelsey Stange'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 Kelsey Stange was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.