Individual provider Active NPI

Scott P Duncan, PHD HSPP

  • Psychologist
  • Celestine, IN
National Provider Identifier
1053455188
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20041336A Issued in IN
Practice address
127 N 1000 E
Celestine, IN 47521-9648
Phone
(812) 234-4642
Fax
(812) 234-7314
NPI assigned
Feb 20, 2007
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 20041336A IN Primary

Addresses

Primary practice location

127 N 1000 E
Celestine, IN 47521-9648

Mailing address

PO Box 1087
Evansville, IN 47706-1087
Phone (812) 471-1591

Other practice location 1

1133 Lincoln Ave
Evansville, IN 47714-1028
Phone (812) 491-2615

Other identifiers 3

IdentifierTypeStateIssuer
200198840BMedicaidIN
149460OtherINMEDICARE
000000185597OtherINANTHEM BLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091130000259 IN Practitioner - Clinical Psychologist 0042359358 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling for Change, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Duncan Psychological Services LLC Psychologist CurrentSince Oct 22, 2009 Accepting new patients
Maglinger Home Based Services Inc. CurrentSince Apr 21, 2023 Accepting new patients
Indiana Eye Center LLC Past Accepting new patients
Cooper Medical Group PC Past Accepting new patients

Locations

1133 Lincoln Ave
Evansville, IN 47714
Phone (812) 303-0212

1133 Lincoln Ave
Ste 201
Evansville, IN 47714
Phone (812) 303-0212

118 Vine St
Evansville, IN 47708
Phone (812) 303-0212

1401 S Green River Rd
Evansville, IN 47715
Phone (812) 303-0212

2330 Washington Ave
Evansville, IN 47714
Phone (812) 303-0212

3400 Stocker Dr
#R
Evansville, IN 47720
Phone (812) 424-8100

3500 N Harlan Ave
Evansville, IN 47711
Phone (812) 421-6200

638 Broadway St
Vincennes, IN 47591

1276 E 250 N
Washington, IN 47501

5 SE 1st St
Washington, IN 47501
Phone (812) 254-0063

520 E Van Trees St
Washington, IN 47501
Phone (812) 243-2334

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1053455188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1087",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061087",
            "telephone_number": "812-471-1591",
            "fax_number": "812-471-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N 1000 E",
            "city": "CELESTINE",
            "state": "IN",
            "postal_code": "475219648",
            "telephone_number": "812-234-4642",
            "fax_number": "812-234-7314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1133 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477141028",
            "country_code": "US",
            "telephone_number": "812-491-2615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "SCOTT",
        "middle_name": "P",
        "credential": "PHD HSPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20041336A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200198840B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "149460",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "000000185597",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Celestine, IN

Sources for this page

Verify at the official NPI Registry.