IndividualActive
Randall Daut, PHD
NPI 1568493500 · Health Service Psychologist · Fort Atkinson, WI
Provider details
- NPI number
- 1568493500
- Entity type
- Individual
- Primary specialty
- Health Service PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 801-057 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
509 Mcmillen St
Fort Atkinson, WI 53538-1263
Phone: (920) 563-7995
Fax: (920) 568-6047
Approximate (ZIP-level) locationGet directions
Mailing address
509 Mcmillen St
Fort Atkinson, WI 53538-1263
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.