Stephen Pongonis, PSYD
NPI 1114941572ActiveIndividual· Psychologist, Clinical· Eau Claire, WI
Psychologist, Clinical (PSYD) in Eau Claire, Wisconsin, licensed in WI and IN, with an NPI issued in July 2006. Medicare paid $3,627 for services to 19 patients in 2024.
Overview
| NPI | 1114941572 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | Jul 27, 2006 |
| Last updated in NPPES | Sep 15, 2020 |
| Certified by provider | Sep 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 2781 | WI |
| Clinical Neuropsychologist | 103G00000X | 20042019A | IN |
| Psychologist | 103T00000X | 2781 | WI |
| Psychologist, Clinical | 103TC0700X | 20042019A | IN |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 20042019A | IN |
| Psychologist, Forensic | 103TF0200X | 20042019A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 19 |
|---|---|
| Services billed | 68 across 4 procedure codes |
| Paid by Medicare | $3,627 |
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All 19 clinical psychologists in Eau Claire · All clinical psychologists in Wisconsin