STEVEN MATTHEW CHARPENTIER, PsyD, LP — NPI 1902158595 (Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical in NEW RICHMOND, WI)

CMS-1500 Box 24J / 33a • NPI

1902158595

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103TC0700X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical

Box 32 Service Location & ZIP+4

137 E 3RD ST, NEW RICHMOND, WI, 54017-1830

✓ 9-Digit EDI 837 ZIP+4 (54017-1830)

Practice Phone & Referral Fax

(715) 781-9542

Fax: (715) 430-2261

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1902158595 (STEVEN MATTHEW CHARPENTIER, PsyD, LP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1902158595` (NPI-1 Individual Practitioner)
Provider / Legal Name	STEVEN MATTHEW CHARPENTIER, PsyD, LP
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical NUCC Code: `103TC0700X` (Psychologist, Clinical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	137 E 3RD ST, NEW RICHMOND, WI, 54017-1830
Practice Telephone / Fax	Tel: (715) 781-9542 \| Fax: (715) 430-2261
Administrative Mailing Address	609 5TH AVE, CLEAR LAKE, WI, 54005-3928
Enumeration & Last Sync	Enumerated: 2012-10-08 \| CMS Record Updated: 2024-01-09

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

137 E 3RD ST, NEW RICHMOND, WI, 54017-1830

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Plain-English Taxonomy & CMS Crosswalk (103TC0700X)

What Does Taxonomy Code 103TC0700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TC0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical) • CMS Code 68 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Clinical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (STEVEN MATTHEW CHARPENTIER, PsyD, LP)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TC0700X` — Psychologist, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical	State: WI \| License: `4039-57` \| Primary: Yes (Primary)
`101YP2500X` — Counselor, Professional Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: WI \| License: `5544-125` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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STEVEN MATTHEW CHARPENTIER, PsyD, LP (NPI #1902158595)