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

MS. Nicole Amalie Fontenot, PSYD

Individual provider Mental Health Counselor · NPI 1053833244

MS. Nicole Amalie Fontenot, PSYD is a Clinical Psychologist in Corvallis, Oregon. Qualified in 2019, 7 years ago. Practices with The Corvallis Clinic P C, a 129-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
7
In the registry since
2017
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

3680 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone: (541) 754-1267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1053833244
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJuly 10, 2017
Last updated in NPPESNovember 24, 2021
Certification dateNovember 24, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice The Corvallis Clinic P C — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Corvallis