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

Stephan Siwiec, PHD

Individual provider Clinical Psychologist · NPI 1487509972

Stephan Siwiec, PHD is a Clinical Psychologist in Madison, Wisconsin. Qualified in 2019, 7 years ago. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2026
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

6402 Odana Rd Ste 304
Madison, WI 53719-1123
Phone: (608) 465-4565
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3987-57 (WI)

Record details

NPI number1487509972
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 2, 2026
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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