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

Shelly A Gallenberg, PHD

Individual provider Professional Counselor · NPI 1821313859

Shelly A Gallenberg, PHD is a Clinical Psychologist in Antigo, Wisconsin. Qualified in 2009, 17 years ago. Practices with The Lakes Community Health Center Inc, a 107-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
17
Licensed in
WI
In the registry since
2010
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

1225 Langlade Rd
Antigo, WI 54409-2762
Phone: (715) 627-6694
Fax: (715) 627-6645
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 3111 (WI)
Professional Counselor Taxonomy 101YP2500X · Licence 4293-125 (WI)

Record details

NPI number1821313859
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 1, 2010
Last updated in NPPESFebruary 3, 2014
Mailing address1100 Lake View Dr, Wausau, WI 54403-6785

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice The Lakes Community Health Center Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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