STEPHEN PAUL DALCERRO PH.D. NPI 1477612836

NPI Information

NPI: 1477612836
Provider Name: STEPHEN PAUL DALCERRO, PH.D.
Classification: Psychologist - 103TH0100X
Specialization: Health Service
Entity Type: Individual
PECOS Registration: Yes
Address: 409 CTY RD R
BLACK RIVER FALLS, WI
ZIP 54615
Phone: (715) 284-9477

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NPI Details

Stephen Paul Dalcerro, PH.D. is a health service psychologist in Black River Falls, WI. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). Stephen Paul Dalcerro, PH.D. NPI is 1477612836. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

409 CTY RD R
BLACK RIVER FALLS, WI
ZIP 54615
Phone: (715) 284-9477
Fax: (715) 284-5547

The NPI 1477612836 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 7/8/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TH0100X	Psychologist	Health Service	1949-057	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	39683800	MEDICAID	WISCONSIN
2	000984005	MEDICARE PIN	WISCONSIN
3	180056	OTHER	MINNESOTA	UCARE
4	49948	OTHER		SECURITY HEALTH PLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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