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RANDALL L DAUT PHD
NPI 1568493500
Psychologist - Health Service in Fort Atkinson, WI

Active since July 06, 2006
509 MCMILLEN ST, FORT ATKINSON, WI 53538(920) 563-7995(920) 568-6047 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Randall L Daut Phd NPPES

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

RANDALL L DAUT PHD (NPI 1568493500) is an individual health service provider in Fort Atkinson, Wisconsin, licensed in Wisconsin (801-057) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1568493500
Entity TypeIndividualMale
Primary Taxonomy103TH0100X
Provider Legal NameRANDALL L DAUTCredential: PHD
Location Address509 MCMILLEN STFort Atkinson, WI 53538-1263
Mailing Address509 Mcmillen StFort Atkinson, WI 53538-1263 · (920) 563-7995 · Fax (920) 568-6047
Phone(920) 563-7995
Fax(920) 568-6047
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1568493500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in WI · 801-057
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Also ListedPsychologistTaxonomy 103T00000X · License 801-057 (WI)
509 MCMILLEN ST, Fort Atkinson, WI 53538
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Other Identifiers 1

Medicaid39025900WI

Other Providers at the Same Location NPPES 5

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

JAMES A CLARK CADCIII
Counselor (Addiction (Substance Use Disorder))
509 MCMILLEN ST
FORT ATKINSON, WI 53538
Jefferson County (920) 563-7995
STEPHANIE P BELZER APSW
Social Worker (Clinical)
509 MCMILLEN ST
FORT ATKINSON, WI 53538
Jefferson County (920) 563-9542
NICHOLAS J BISENIUS PHD
Psychologist
509 MCMILLEN ST
FORT ATKINSON, WI 53538
Jefferson County (920) 563-7995
CHRISTINE E BECKMAN LCSW
Social Worker (Clinical)
509 MCMILLEN ST
FORT ATKINSON, WI 53538
Jefferson County (920) 563-7995
SAMUEL C SMITH PHD
Psychologist
509 MCMILLEN ST
FORT ATKINSON, WI 53538
Jefferson County (920) 563-7995

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 Randall Daut's NPI number?

The NPI number for Randall Daut is 1568493500. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Randall Daut located?

Randall Daut practices at 509 Mcmillen St, Fort Atkinson, WI 53538. The listed phone number is (920) 563-7995.

What is Randall Daut's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Randall Daut was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.