Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ellen Marie Meier-Licht, PHD

Individual provider Psychologist · NPI 1518529718

Dr. Ellen Marie Meier-Licht, PHD is a Clinical Psychologist in Oshkosh, Wisconsin. Qualified in 2015, 11 years ago. Practices with Ccp Clinic LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
11
Licensed in
WI
In the registry since
2019
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1825 Witzel Ave
Oshkosh, WI 54902-5592
Phone: (920) 558-3127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 3653-57 (WI)

Record details

NPI number1518529718
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 8, 2019
Last updated in NPPESJanuary 5, 2021
Certification dateJanuary 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ccp Clinic Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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