Provider Demographics
NPI:1487688859
Name:STEINBERGER, HENRY (PHD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:
Last Name:STEINBERGER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5183
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-0183
Mailing Address - Country:US
Mailing Address - Phone:608-692-0337
Mailing Address - Fax:608-352-8836
Practice Address - Street 1:2320 ETON RDG
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53726-5306
Practice Address - Country:US
Practice Address - Phone:608-692-0337
Practice Address - Fax:608-352-8836
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1285-057103TA0400X, 103TC1900X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIWI2746OtherMEDICARE PTAN
WI1487688859Medicaid
WIWI2746OtherMEDICARE
WI1285-057OtherPSYCHOLOGY LICENSE