Individual provider Active NPI

Scuddy F. Fontenelle III, PH.D.

  • School Psychologist
  • Metairie, LA
National Provider Identifier
1477577922
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SP301 Issued in LA
Practice address
118 Ridgelake Dr
Metairie, LA 70001-5312
Phone
(504) 834-2775
Fax
(504) 834-2378
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 457 LA
School Psychologist 103TS0200X SP301 LA Primary

Addresses

Primary practice location

118 Ridgelake Dr
Metairie, LA 70001-5312

Mailing address

118 Ridgelake Dr
Metairie, LA 70001-5312
Phone (504) 834-2775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
457LAMDClinical Child & Adolescent Psychologist
SP301LAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thais L. Duhon, LCSW, LLC PastSince Oct 22, 2010 Accepting new patients

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1477577922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 RIDGELAKE DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015312",
            "telephone_number": "504-834-2775",
            "fax_number": "504-834-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 RIDGELAKE DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015312",
            "telephone_number": "504-834-2775",
            "fax_number": "504-834-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENELLE",
        "first_name": "SCUDDY",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "LA",
            "license": "457",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "LA",
            "license": "SP301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.