Active NPI
Scott L Fenton, PSY.D.
- Clinical Psychologist
- Monona, WI
National Provider Identifier
1457527764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2531057
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2531057 | WI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott L Fenton, PSYD, LLC | Clinical | Current | 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.
-
- Clinical Psychologist
- Monona, WI
- NPI 1740440924
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.