Private Practice School Psychologist

​​​​​Additional Resources

Other Forms

Statutes and Administrative Code

Continuing Education Information

Exam Information

Offenses that May Result in Refusal, Bar, or Termination of Licensure

Related Links

Psychology Examining Board

Orders and Disciplinary Actions

Conviction Self Report

​Report​ of Final Adverse Action​

Professional Assistance Procedure

Monitoring

File a Complaint

​2021 Wisconsin Act 22

Effective June 1, 2021, 2021 Wisconsin Act 22, codified into Wisconsin 2021 Statute Chapter 455, discontinued the Wisconsin Psychology Examining Board initial licensure of private practice school psychologists.

  • Applications for initial Wisconsin Psychology Examining Board Private Practice School Psychologist licensure will not be accepted on or after June 1, 2021. 
  • The legislation allows private practice school psychologists who, on May 31, 2021, held a valid private practice school psychologist license under Wisconsin 2019 Statute § 455.04(4) to continue to renew their Wisconsin Psychology Examining Board licenses and engage in the private practice of school psychology (Wis. Stat. § 455.04(4)). 
  • The legislation continues to allow a person to work as a school psychologist in school settings without a license issued by the Wisconsin Psychology Examining Board if the person receives a school psychologist license from the Department of Public Instruction (Wis. Stat. § 455.02(2m)(g)).
  • For more information, see 2021 Assembly Bill 63, 2021 Wisconsin Act 22, and Wisconsin 2021 Statute Chapter 455.
  • Renewal information is located below and continuing education information is linked in the upper right of this page. 

Licensure Requirements​​ (for applications received on or before 5/31/2021)

Complete steps required for a regular license as a school psychologist issued by the Wisconsin Department of Public Instruction. Hold a regular license as a school psychologist issued by the Wisconsin Department of Public Instruction.

  • Have completed a program for the preparation of school psychologists resulting in a doctor of philosophy, doctor of psychology, doctor of education or education specialist degree, or consisting of a minimum of 60 graduate semester credits resulting in a master's degree in psychology.
  • Submit written verification from the supervising psychologist or a school official or administrator that the applicant has successfully completed one year of experience or internship in school psychology under the supervision of a school psychologist licensed by the Wisconsin Department of Public Instruction.
  • ​Board review of application, determination of eligibility to sit for exam , National Teachers Examination (NTE) Specialty Area Test for School Psychologist

​To be approved for the ethics exam and oral interview, your application file must be complete with all supporting documents 30 days prior to the board meeting date in order for the file to be reviewed by the board on that date. If the board approves your file, you would sit for the ethics exam and appear for the oral interview on the meeting date subsequent to the meeting date that your file was approved.

Application for Licensure (for applications received on or before 5/31/2021)​

​Form​​​​​
​Description​​​​​
​637
​Application For the Private Practice of School Psychology (obsolete)
​1899
​Experience Verification
​638
​Nature of Private Practice of School Psychology

​2829
​Malpractice Suits or Claims Form (if applicable)

​2252
​Convictions and Pending Charges (if applicable)


Renewal Information

Per 2021 Wis. Act 22, the Wisconsin Psychology Examining Board discontinued issuing initial Private Practice School Psychologist credentials. Per Wis. Stat. § 440.08 (2), the required renewal date for Private Practice School Psychologist credentials is 09/30/odd years. Continuing education information is linked in the upper right of this page. Only credentials active on 5/31/2021 or resulting from an application received at the Department on or before 5/31/2021 are eligible for renewal. 

Requirements​

  • FEE (See Renewal Dates and Fees)
  • SIG (Signature regarding the completion of Continuing Education, included in on-line renewal and paper form see Continuing Education Information for details)
  • If your legal status as a qualified alien or nonimmigrant lawfully present in the United States has changed since the issuance of your credential or your last renewal, please contact the Wisconsin Department of Safety and Professional Services at (608) 266-2112 or dsps@wisconsin.gov.
  • PLEASE NOTE:  Attesting to being permanently retired during renewal waives the Continuing Education requirement, and updates the license status to "Non-Practicing" per PSY 4.02 (h)(i​).  Non-practicing licenses are current, but not eligible for practice.  Non-practicing status must be renewed every biennium.

Renewal Methods

Form
Description
RDAFRenewal Dates and Fees
R210Active Duty/Discharge Renewal Extension
​2254​
​Convictions and Pending Charges (if applicable)

Wisconsin Act 210 (effective June 1, 2012)​

This Act extends the license of a service member if the license expires while they are on active duty from 90 days to 180 days from the date of discharge. The same applies to a spouse of a service member if the spouse does not practice under their license while the service member is on active duty and does not practice because the service member is on active duty.

This Act repeals a provision of prior law that required a service member to meet all of the requirements for license extension or renewal, except for continuing education requirements, in order to have the license extended.

Service members and spouses may request extensions of licenses beyond 180 days from discharge and may request a waiver or extension of time to complete continuing education requirements due to hardship. Please view Active Duty/Discharge Renewal Extension Form #R210.​