Individual provider Active NPI

Scott L Fenton, PSY.D.

  • Clinical Psychologist
  • Monona, WI
National Provider Identifier
1457527764
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2531057 Issued in WI
Practice address
5900 Monona Dr Ste 408
Monona, WI 53716-3561
Phone
(608) 628-3963
Fax
(608) 501-0978
NPI assigned
May 6, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2531057 WI Primary

Addresses

Primary practice location

5900 Monona Dr Ste 408
Monona, WI 53716-3561

Mailing address

5900 Monona Dr Ste 408
Monona, WI 53716-3561
Phone (608) 628-3963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080813000754 WI Practitioner - Clinical Psychologist 4486729225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5900 Monona Dr
Suite 408
Monona, WI 53716-3561
Phone (608) 628-3963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2531057WIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott L Fenton, PSYD, LLC Clinical CurrentSince Aug 13, 2008 Accepting new patients

Locations

6314 Odana Rd
Ste E
Madison, WI 53719
Phone (608) 347-9582

6314 Odana Rd
Madison, WI 53719
Phone (608) 270-6634

5900 Monona Dr
Ste 408
Monona, WI 53716
Phone (608) 628-3963

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1457527764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 MONONA DR STE 408",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163561",
            "telephone_number": "608-628-3963",
            "fax_number": "608-501-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 MONONA DR STE 408",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163561",
            "telephone_number": "608-628-3963",
            "fax_number": "608-501-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON",
        "first_name": "SCOTT",
        "middle_name": "L",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-06",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2531057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monona, WI

Sources for this page

Verify at the official NPI Registry.