Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Marcel Tassara, PHD

Individual provider Clinical Psychologist · NPI 1265801740

Mr. Marcel Tassara, PHD is a Clinical Psychologist in Milwaukee, Wisconsin. Qualified in 2014, 12 years ago. Practices with 16th Street Community Health Center Inc, a 84-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2015
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

1032 S Cesar E Chavez Dr
Milwaukee, WI 53204-2203
Phone: (414) 672-1353
Fax: (414) 672-4265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5450 S Hately Ave, Cudahy, WI 53110-2041 — (414) 801-9596
  • 1635 W National Ave, Milwaukee, WI 53204-1130 — (414) 672-1353

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3332 (WI)

Record details

NPI number1265801740
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 15, 2015
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice 16th Street Community Health Center Inc. — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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