MICHAEL TETKOSKI (PHD) – Clinical Psychologist, NPI 1316994676

MICHAEL TETKOSKI (PHD) is a healthcare provider. based in Mequon, Wisconsin. specializing in Clinical Psychologist. They hold the professional credentials PHD. They hold a License No. 1098-057 (WI). The NPI Number for MICHAEL TETKOSKI (PHD) is 1316994676

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL TETKOSKI (PHD)
NPI
1316994676
Phone
(262) 241-5099
Address
1312 W TOWNE SQUARE RD
Enumeration Date
30 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4142911000
Graduation Year
1983 (43 years ago)
PAC ID
0749205268
Group Practice PAC ID
5890604722
Professional Enrollment ID
I20051013000142
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MICHAEL TETKOSKI (PHD)

  • 1312, West Towne Square Road, Mequon, Ozaukee County, Wisconsin, 53092, United States

    MEQUON, WI 530925046

    Phone: (262) 241-5099

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53092)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890604722View full group profile

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Frequently asked questions

What is the 10-digit NPI for MICHAEL TETKOSKI (PHD)?
MICHAEL TETKOSKI (PHD) — NPI 1316994676 — is the standard way to identify this listing.
Does the file indicate MICHAEL TETKOSKI (PHD) is practicing under active NPI?
Directory data currently reports MICHAEL TETKOSKI (PHD) as active.
What is MICHAEL TETKOSKI (PHD)'s specialty?
The listing groups MICHAEL TETKOSKI (PHD) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where should I expect MICHAEL TETKOSKI (PHD) on a map?
Expect Mequon, Wisconsin as a primary anchor for MICHAEL TETKOSKI (PHD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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