DR. SCUDDY F. FONTENELLE III (NPI# 1477577922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477577922 |
| Entity Type | Individual |
| Full Name | DR. SCUDDY F. FONTENELLE III |
| Credential | PH.D. |
| Practice Address |
118 Ridgelake Dr Metairie LA 70001-5312 |
| Practice Telephone | 5048342775 |
| Practice Fax Number | 5048342378 |
| Mailing Telephone | 5048342775 |
| Mailing Fax Number | 5048342378 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
457 | LA | Behavioral Health & Social Service Providers |
| X | 103TS0200X |
Psychologist Specialization: School |
SP301 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124428313 | Scuddy Fontenelle Iv | Psychologist | 40 Temple St Ste 7d, New Haven, CT 06510-2715 | 2014-08-26 |
| Street Address |
118 RIDGELAKE DR |
| City | METAIRIE |
| State | LA |
| Zip Code | 70001-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447213103 | Thais Lorio Duhon | Social Worker | 118 Ridgelake Dr, Metairie, LA 70001-5312 | 2006-04-11 |
| 1912539263 | Sarah Ann Fontenelle | Psychologist | 118 Ridgelake Dr, Metairie, LA 70001-5312 | 2020-02-05 |
| 1144594508 | Elizabeth Fontenelle Chisolm | Counselor | 118 Ridgelake Dr, Metairie, LA 70001-5312 | 2012-03-02 |
| 1699070722 | Thais L. Duhon, Lcsw, LLC | Community/Behavioral Health | 118 Ridgelake Dr, Metairie, LA 70001-5312 | 2011-01-20 |
| 1336442516 | Lucinda Lang Degrange | Psychologist | 118 Ridgelake Dr, Metairie, LA 70001-5312 | 2010-12-10 |
| 1336358183 | Barbara S. Mitchell | Social Worker | 118 Ridgelake Dr, Metairie, LA 70001-5312 | 2007-05-21 |
| 1316961253 | Dianne P Barth | Social Worker | 118 Ridgelake Dr, Metairie, LA 70001-5312 | 2006-07-26 |
| 1033141601 | Carol S Miers | Counselor | 118 Ridgelake Dr, Metairie, LA 70001-5312 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573361 | Maria Ann Sands | Social Worker | 2301 Edenborn Avenue, Unit 1002, Metairie, LA 70001 | 2020-06-17 |
| 1104455401 | Grace Elizabeth Beck Coburn | Dentist | 3100 Galleria, Suite 206, Metairie, LA 70001 | 2020-04-07 |
| 1295384709 | Lotus Counseling Center | Counselor | 1 Galleria Blvd, Ste 1900, #1903, Metairie, LA 70001 | 2019-09-06 |
| 1255812160 | Keyota Andrea Russell | Non-emergency Medical Transport (VAN) | 2408 Houma Blvd Apt 315, Metairie, LA 70001 | 2018-08-28 |
| 1184116204 | Benjamin Guidry Md, LLC | Ophthalmology | 4720 S I 10 Service Rd W Ste 410, Metairie, LA 70001 | 2018-06-04 |
| 1700382207 | Kalah Mackenzie Arnett | Student in an Organized Health Care Education/Training Program | 4740 So. I-10 Service Rd., Suite 120, Metairie, LA 70001 | 2018-04-03 |
| 1396240974 | Saba Farooq | Student in an Organized Health Care Education/Training Program | 4740 So. I-10 Service Rd., Suite 120, Metairie, LA 70001 | 2018-03-27 |
| 1427559046 | Ambulatory Care Specialists of New Orleans | Clinic/Center | 2520 Harvard Ave Ste 2a, Metairie, LA 70001 | 2018-02-28 |
| 1023527165 | Jessica Jones | Social Worker | 3616 South I-10 Service Road W, Metairie, LA 70001 | 2017-09-20 |
| 1033633979 | Priscilla Williams | Counselor | 2325 Pasadena Ave, Apt. K, Metairie, LA 70001 | 2017-08-02 |
| Find all providers in zip 70001 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972758639 | Adrianne M Brennan | Psychologist | 433 Metairie Rd Ste 615, Metairie, LA 70005-4326 | 2008-11-22 |
| 1497895262 | Mercy Family Center | Psychologist | 110 Veterans Memorial Blvd., Suite 425, Metairie, LA 70005-4959 | 2007-02-08 |
| 1063473213 | Claire Dianne Peebles | Psychologist | 4517 Lorino St, Metairie, LA 70006-2323 | 2006-03-29 |
| 1609163351 | Sisters of Mercy Ministries D/b/a Mercy Family Center | Psychologist | 110 Veterans Memorial Blvd Ste 425, Metairie, LA 70005-4959 | 2011-07-01 |
| 1205154580 | Bianchini-bokelberg, LLC | Psychologist | 3939 Houma Blvd, Ste 223, Metairie, LA 70006-2931 | 2010-05-11 |
| 1992028765 | Bianchini-topolosky, LLC | Psychologist | 3939 Houma Blvd, Ste 223, Metairie, LA 70006-2931 | 2010-03-09 |
| 1013057967 | Katherine A Robison | Psychologist | 3350 Ridgelake Dr, Suite 100, Metairie, LA 70002-3836 | 2007-02-08 |
| 1932246014 | Lisa L'rue Arceneaux | Psychologist | 110 Veterans Blvd, Suite 425, Metairie, LA 70005-3027 | 2007-01-30 |
| 1033260849 | William E Fowler | Psychologist | 3351 Severn Ave, Suite 301, Metairie, LA 70002-7414 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750928693 | Adrianne M Brennan Phd | Psychologist | 110 James Dr W, Saint Rose, LA 70087-4027 | 2019-12-10 |
| 1760647663 | William E Fowler | Psychologist | 309 Crystal St, New Orleans, LA 70124-2619 | 2008-07-21 |
| 1598926644 | Jerald W Bamburg Jr. | Psychologist | 106 N Bend Dr, Pineville, LA 71360-4677 | 2008-06-20 |
| 1548456189 | Courtney N. Baker | Psychologist | 6400 Freret St, Psychology Dept., 2007 Percival Stern Hall, New Orleans, LA 70118-5636 | 2007-09-18 |
| 1447310289 | Peter Clark | Psychologist | 203 W 21st Ave, Covington, LA 70433-3151 | 2006-12-11 |
| 1831750645 | Kasia Plessy | Psychologist | 1430 Tulane Ave # 8055, New Orleans, LA 70112-2632 | 2019-06-23 |
| 1114588142 | Jamil Monique Gilliam | Psychologist | 1430 Tulane Ave # 8055, New Orleans, LA 70112-2632 | 2019-06-20 |
| 1891351326 | Bianchini-esteve-edwards LLC | Psychologist | 7252 Lakeshore Dr, New Orleans, LA 70124-2433 | 2019-05-09 |
| 1578025185 | Margaret Smith | Psychologist | 1430 Tulane Ave # 8055, New Orleans, LA 70112-2632 | 2019-04-02 |
| 1871089763 | Gulf South Br - Aba, LLC | Psychologist | 9063 Siegen Ln Ste A, Baton Rouge, LA 70810 | 2018-07-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.