Sharon S. Fedderly, PHD
NPI 1619064441ActiveIndividual· Psychologist, Clinical· Glendale, WI
Psychologist, Clinical (PHD) with Cornerstone Counseling Services Inc, practicing in Glendale, Wisconsin. Medicare paid $29,325 for services to 16 patients in 2024.
Overview
| NPI | 1619064441 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Oct 5, 2006 |
| Last updated in NPPES | Dec 23, 2025 |
| Certified by provider | Dec 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 1452-57 | WI |
| Psychologist | 103T00000X | 1452-057 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 351 across 4 procedure codes |
| Paid by Medicare | $29,325 |
Education and affiliations
| Graduation year | 1988 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Cornerstone Counseling Services IncMadison, WI · 353 clinicians
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All 17 clinical psychologists in Glendale · All clinical psychologists in Wisconsin