Thomas Wayne Conger, PHD
Individual provider Active NPI Clinical Psychologist · Madison, FL
NPI 1124901384 · NPPES record last updated Jul 28, 2025
Key facts
- NPI
- 1124901384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY2118 (FL)
- Practice address
- 350 NW Catfish Way
Madison, FL 32340-3769 - Phone
- (850) 228-5070
- NPI assigned
- Jul 28, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY2118 | FL | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY2118 | FL | Yes |
Addresses
Primary practice location
350 NW Catfish Way
Madison, FL 32340-3769
Mailing address
350 NW Catfish Way
Madison, FL 32340-3769
Phone (850) 228-5070
Other providers in Madison, FL
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- Cardiology and Internal Medicine Group of North Florida P a
- Carewell LLC
- CG Madison LLC
- George Elton Cherry
- County of Madison Office Clerk Board County Commissioners
- Katelynn Mae Croft
- Crystal Fountain Home Services LLC
- Stacey Daniels
- Donna Davis
All providers in Madison, FL · Clinical Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.