Application Status Query

Instructions: 

Please allow one hour after receipt of your status update email for the updates to be reflected in the online checklist.

Please verify the checklist information below, including your address. If your address has changed, please e-mail your application number, name, profession, along with your old and new address. The Credentialing department posts status information following receipt and review of application materials.

As of  :  11/20/2024
Application#  :  798738
Name  :  Butts, Stephen Michael
Profession  :  Psychologist
Address  :  Edina, MN
Application Status  :  (Permanent license issued)


Requirements Not Met:
Description Status Comments (Please note, not all requirements will include comments)

Requirements Met:
Description Status Comments (Please note, not all requirements will include comments)
Application Complete Met
11/20/2024 NOTE: Application complete - leb
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11.19.24 - File returned to staff. ALC.

11/18/24: File has been sent to the assigned attorney for review. SMD.--- 11/08/2024 NOTE: Rec'd applicant's email submission of court order documents; file sent to legal for review - leb
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10/24/2024 NOTE: Reviewed. Email sent; case/support ticket # 00810679. Rec'd form 634. Mailing address changed. Rec'd form 2829. NEED: Supporting documentation corresponding with item listed in form 2829 - leb
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10/17/2024 NEED: Form 634; application is more than 12-months old. NOTE: Email with form attached sent through LicensE NEED: Please submit your document via email to DSPSCREDPsychology@wisconsin.gov.
And THEN, go to your account at https://license.wi.gov to log in and submit a case/support ticket requesting document retrieval - leb
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02/20/2024 NEED: New application submission through LicensE ---- NOTE: Legacy application has had not activity for 12 months. Per statute, new application is required. EPPP Part 1 exam scores from 02/15/2024 received. Retake required. Instructions will be sent upon LicensE application initial review. Email sent to applicant through LicensE - (leb) ----
2/21/23: Your application has been reviewed - LEB
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6/22/22: Your application has been reviewed. This item will remain ‘Not Met’ until ALL other requirements are ‘Met’ - TMB;
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3/21/22: Your application has been received & entered. Your application has not been reviewed. (Requirements will remain “Not Met” until your application has been reviewed) - lrs
Application Fee Met
10/17/2024: Examination retake fee NOT required; applicant completed EPPP exam in MN - leb
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2/21/23: $15 exam retake fee required; see EPPP authorization note - LEB
PAID 2/18/22 $156
Interim License - form 1634 Met
INTERIM License #4108-57
Valid 10/21/22
Expires 10/21/24
PLEASE NOTE: Interim temporary is valid for 2 years or obtains the full PSYC license & may NOT be renewed - TMB;
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PAID 9/13/22;
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8/31/22: need $10.00 Interim Psychologist Fee, mail to: Attn: PSYC, DSPS, PO Box 8935, Madison WI 53708-8935;
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need form; to grant the Interim license ALL requirements EXCEPT the score for the EPPP & the remaining 1,500 hours of Supervised Practice of Psychology under Category B must be complete - TMB
Wisconsin Statutes & Rules Examination Met
10/17/2024: PASS - leb
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6/22/22: complete - TMB;
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3/20/22: You may take this exam at any time;
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Prior to taking exam, review instructions at:
https://dsps.wi.gov/Pages/Professions/Psychologist/Exams.aspx
When at the ParTest Online you’ll need the following:
Instructor: gsp
Test Name: PSY13A
Test Password: PSY13A
Student ID: Your application ID
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PLEASE NOTE: each attempt of this exam cost $75.00. If you receive a failing score you will be required to retake this exam & pay the $75.00 retake fee
Doctorate Transcripts Met
10/17/2024 NOTE: Palo Alto University (Palo Alto CA), PhD, clinical psychology conferred on 07/13/2020. Internship fall 2016, winter 2016, spring 2017 and summer 2017. Degree APA accredited - leb
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Graduated 7/13/20
1500 Supervised Hours part A - form 2555 Met
10/17/2024 NOTE: Summary - 2,008 CAT A hrs accrued from 09/01/2016 to 08/31/2017 with NY supervisor Thomson - leb
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9/1/22: complete - TMB;
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8/31/22: Supervised Practice of Psychology experience Category A & Category B hours sent to Board Liaison for review.
We are experiencing high application volumes along with pandemic-related staffing challenges, both of which are causing delays in processing times. All teams are processing applications in the order they are received, and we are adjusting operations to enable our staff to respond more quickly. While we understand that you want an estimate for a decision on your application, we cannot accurately estimate timeframes, as every application is unique. We encourage applicants to monitor their checklists for status updates - TMB;
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6/22/22: rec’d Category A out-of-state Supervised Practice of Psychology hours under Brian Thomson; need the following: a written narrative from you petitioning the Board to approve your hours and supervisor & a copy of supervisor’s resume showing their work experience & education; mail to: Attn: PSYC, DSPS, PO Box 8935, Madison WI 53708-8935 or email to: dspscredpsychology@wi.gov
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PLEASE NOTE: all out-of-state supervised practice of Psychology will require Board approval - TMB
1500 Supervised Hours part B - form 2555 Met
10/17/2024 NOTE: Summary - 3,500 CAT B4 hrs accrued from 07/14/2020 to 06/17/2022 with WI supervisor Hakes - leb ----- 9/1/22: complete - TMB;
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8/31/22: Supervised Practice of Psychology experience Category A & Category B hours sent to Board Liaison for review.
We are experiencing high application volumes along with pandemic-related staffing challenges, both of which are causing delays in processing times. All teams are processing applications in the order they are received, and we are adjusting operations to enable our staff to respond more quickly. While we understand that you want an estimate for a decision on your application, we cannot accurately estimate timeframes, as every application is unique. We encourage applicants to monitor their checklists for status updates - TMB;
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6/22/22: rec'd hours under Hakes - TMB
PES / EPPP Met
10/17/2024 NOTE: EPPP Part 1 exam attempt from 01/23/2023 required re-take.
Rec'd EPPP score transfer report from MN; PASSED on 09/18/2024 - leb
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Board Approval Met
10/17/2024 NOTE: Supervised experience/hours APPROVED by board liaison on 08/31/2022 - leb
Other General Met
8/31/22: complete - TMB;
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6/22/22: rec'd form & photo, email sent to applicant - TMB;
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6/10/22: Need form 2687 (Authorization for Release of FBI Information) and photograph (head and shoulders only). Email to dspscredpsychology@wisconsin.gov. Fingerprinting instructions will be emailed following receipt and review - lrs