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DEIRDRE RADOSEVICH PHD
NPI 1851535009
Psychologist - Clinical in Appleton, WI

Active since April 30, 2009
5317 W GRANDE MARKET DR STE F7, APPLETON, WI 54913(920) 430-0736 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2018, Aug 8, 2016 (2 updates tracked since 2016).

About Deirdre Radosevich Phd NPPES

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

DEIRDRE RADOSEVICH PHD (NPI 1851535009) is an individual clinical provider in Appleton, Wisconsin, licensed in Wisconsin (2992-57) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1851535009
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDEIRDRE RADOSEVICHCredential: PHD
Location Address5317 W GRANDE MARKET DR STE F7Appleton, WI 54913-8465
Mailing Address3336 Cottage Hill DrGreen Bay, WI 54311-6139 · (740) 972-1075
Phone(920) 430-0736
Sole ProprietorYes
Enumeration DateApril 30, 2009
Last NPPES UpdateSeptember 18, 20182 updates tracked since enumeration
✔ NPI 1851535009 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 · 2992-57
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.
5317 W GRANDE MARKET DR STE F7, Appleton, WI 54913
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Other Identifiers 1

Medicaid1346622214WI

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

BAY CENTER THERAPY
Psychologist (Clinical)
5317 W GRANDE MARKET DR STE F7
APPLETON, WI 54913
Outagamie County (920) 430-0736

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 Deirdre Radosevich's NPI number?

The NPI number for Deirdre Radosevich is 1851535009. It was assigned to this individual provider in the NPPES registry on April 30, 2009.

Where is Deirdre Radosevich located?

Deirdre Radosevich practices at 5317 W Grande Market Dr Ste F7, Appleton, WI 54913. The listed phone number is (920) 430-0736.

What is Deirdre Radosevich'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 Deirdre Radosevich was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.