DR. SCUDDY FONTENELLE IV
NPI 1124428313
Psychologist - Clinical in New Haven, CT

Q: What is Scuddy Fontenelle's NPI number?

The NPI number for Scuddy Fontenelle is 1124428313. It was assigned to this individual provider in the NPPES registry on August 26, 2014.

Q: What is Scuddy Fontenelle's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Scuddy Fontenelle was last updated on March 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 26, 2014

40 TEMPLE ST STE 7D, NEW HAVEN, CT 06510(203) 785-6115 Get Directions Write a Review

NPPES record last updated: March 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Scuddy Fontenelle Iv NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SCUDDY FONTENELLE IV (NPI 1124428313) is an individual clinical provider in New Haven, Connecticut, licensed in Connecticut (3574) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1124428313

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SCUDDY FONTENELLE IV

Location Address40 TEMPLE ST STE 7DNew Haven, CT 06510-2715

Mailing Address40 Temple St Ste 7dNew Haven, CT 06510-2715 · (203) 785-6115

Phone(203) 785-6115

Sole ProprietorNo

Enumeration DateAugust 26, 2014

Last NPPES UpdateMarch 8, 2017

✔ NPI 1124428313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CT · 3574

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

40 TEMPLE ST STE 7D, New Haven, CT 06510

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Other Identifiers 1

Medicaid110026265EMA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scuddy Fontenelle's NPI number?

The NPI number for Scuddy Fontenelle is 1124428313. It was assigned to this individual provider in the NPPES registry on August 26, 2014.

Where is Scuddy Fontenelle located?

Scuddy Fontenelle practices at 40 Temple St Ste 7D, New Haven, CT 06510. The listed phone number is (203) 785-6115.

What is Scuddy Fontenelle's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Scuddy Fontenelle was last updated on March 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.