Individual provider Active NPI

Scott Carlson, PSYD

  • Clinical Psychologist
  • Pittsburgh, PA
National Provider Identifier
1083765580
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS008542L Issued in PA
Practice address
300 Rockfield Cir
Wpic-BT4
Pittsburgh, PA 15243-1406
Phone
(412) 246-5407
Fax
(412) 246-5410
NPI assigned
Jan 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS008542L PA Primary

Addresses

Primary practice location

300 Rockfield Cir
Wpic-BT4
Pittsburgh, PA 15243-1406

Mailing address

327 Rockhill Rd
Pittsburgh, PA 15243-1411
Phone (412) 319-7148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110110000912 PA Practitioner - Clinical Psychologist 1456540277 Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Rockfield Cir
Pittsburgh, PA 15243-1406
Phone (412) 979-8595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS008542LPAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1083765580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 ROCKHILL RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431411",
            "telephone_number": "412-319-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ROCKFIELD CIR",
            "address_2": "WPIC-BT4",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431406",
            "telephone_number": "412-246-5407",
            "fax_number": "412-246-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS008542L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.