Scott L Fenton, PSYD, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2531057 Issued in WI

Legal business name

SCOTT L FENTON, PSYD, LLC

Practice address

5900 Monona Dr Ste 408
Monona, WI 53716-3561

Phone

(608) 628-3963

Fax

(608) 501-0978

NPI assigned

Jun 11, 2008

Organization subpart

No

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

Authorized official

Name

Scott L Fenton, PSYDNPI 1457527764

Title

Sole Proprietor

Phone

(608) 628-3963

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott L Fenton, PSY.D.

  • Clinical Psychologist
  • Monona, WI
  • NPI 1457527764
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1740440924",
    "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": {
        "organization_name": "SCOTT L FENTON, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "608-628-3963",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2531057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather E Schneider, LPC
• Mary T Schoenherr, RN
• Jacob Schuldies, LCSW
• Brock Davis Vern Schultz, LPC-IT
• Richard D. Schwichtenberg, LCSW
• Scott White Chiropractic LLC
• Elizabeth Seeliger
• Doris A Seitz, R.PH.
• Michael John Sermon, PA-C
• Jeremiah J Shaw, MD

• Clinical Psychologist in Monona, WI
• Providers in Monona, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.