Individual provider Active NPI

Donal Grant Maccoon, PH.D.

  • Psychologist
  • Middleton, WI
National Provider Identifier
1841399573
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
INDIVIDUAL PROVIDER Issued in WI
Practice address
8383 Greenway Blvd Ste 500
Middleton, WI 53562-3529
Phone
(608) 274-0355
Fax
(608) 274-5546
NPI assigned
Sep 21, 2006
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X INDIVIDUAL PROVIDER WI Primary

Addresses

Primary practice location

8383 Greenway Blvd Ste 500
Middleton, WI 53562-3529

Mailing address

8383 Greenway Blvd Ste 500
Middleton, WI 53562-3529
Phone (608) 274-0355

Other identifiers 1

IdentifierTypeStateIssuer
14546OtherWIDEAN HEALTH

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
I20100921001496 WI Practitioner - Clinical Psychologist 0941326458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Madison Psychiatric Associates, LTDGroup PAC ID 1759286271, 14 clinicians

Practice addresses (Care Compare)

8383 Greenway Blvd
Suite 500
Middleton, WI 53562-3529
Phone (608) 274-0355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
INDIVIDUAL PROVIDERWIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Psychiatric Associates, LTD. Psychologist CurrentSince Mar 1, 2010 Accepting new patients

Locations

5534 Medical Cir
Madison, WI 53719
Phone (608) 274-0355

8383 Greenway Blvd
Ste 500
Middleton, WI 53562

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1841399573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 GREENWAY BLVD STE 500",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623529",
            "telephone_number": "608-274-0355",
            "fax_number": "608-274-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 GREENWAY BLVD STE 500",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623529",
            "telephone_number": "608-274-0355",
            "fax_number": "608-274-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCOON",
        "first_name": "DONAL",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "INDIVIDUAL PROVIDER",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH",
            "identifier": "14546",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

Verify at the official NPI Registry.