Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Sharon S Fedderly, PHD

Individual provider Psychologist · NPI 1619064441

Mrs. Sharon S Fedderly, PHD is a Clinical Psychologist in Glendale, Wisconsin. Qualified in 1988, 38 years ago. Practices with Cornerstone Counseling Services Inc, a 328-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
38
Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

5900 N Port Washington Rd Ste 230
Glendale, WI 53217
Phone: (414) 962-4048
Fax: (414) 962-4052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1452-57 (WI)
Psychologist Taxonomy 103T00000X · Licence 1452-057 (WI)

Record details

NPI number1619064441
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Cornerstone Counseling Services Inc — 328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Glendale