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SAMUEL FREDRICKSON
NPI 1336988930
Marriage & Family Therapist in Madison, WI

Active since May 22, 2024
579 DONOFRIO DR STE 206, MADISON, WI 53719(608) 424-9100 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel Fredrickson NPPES

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

SAMUEL FREDRICKSON (NPI 1336988930) is an individual marriage & family therapist in Madison, Wisconsin and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1336988930
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameSAMUEL FREDRICKSON
Location Address579 DONOFRIO DR STE 206Madison, WI 53719-2839
Mailing Address563 Stonewood CtEvansville, WI 53536-9001 · (920) 960-0548
Phone(608) 424-9100
Sole ProprietorNo
Enumeration DateMay 22, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1336988930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
579 DONOFRIO DR STE 206, Madison, WI 53719
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. EMMA ERICKSON MFT-IT
Marriage & Family Therapist
579 DONOFRIO DR STE 206
MADISON, WI 53719
Dane County (608) 424-9100

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 Samuel Fredrickson's NPI number?

The NPI number for Samuel Fredrickson is 1336988930. It was assigned to this individual provider in the NPPES registry on May 22, 2024.

Where is Samuel Fredrickson located?

Samuel Fredrickson practices at 579 Donofrio Dr Ste 206, Madison, WI 53719. The listed phone number is (608) 424-9100.

What is Samuel Fredrickson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Samuel Fredrickson was last updated on May 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.