Scuddy F. Fontenelle III, PH.D.
NPI 1477577922ActiveIndividual· Psychologist, School· Metairie, LA
Psychologist, School (PH.D.) in Metairie, Louisiana, licensed in LA, with an NPI issued in July 2006.
Overview
| NPI | 1477577922 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Jul 27, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, School Primary | 103TS0200X | SP301 | LA |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 457 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Psychologist, School providers in Metairie
- 1982098943
- 1689029274
- 1053060871
- 1851018816