Active NPI
Megan Nicole Scott, PH.D.
- Clinical Neuropsychologist
- Chicago, IL
National Provider Identifier
1093090565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 071.008190
- Practice address
- 225 E Chicago Ave # 10B
Chicago, IL 60611-2991 - Phone
- (312) 227-6007
- NPI assigned
- Oct 17, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.008190 | IL | |
| Clinical Neuropsychologist | 103G00000X | 071.008190 | IL | Primary |
Addresses
Primary practice location
225 E Chicago Ave # 10B
Chicago, IL 60611-2991
Mailing address
225 E Chicago Ave # 10B
Chicago, IL 60611-2991
Phone (312) 227-6007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071.0088190 | Other | IL | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https:/www.luriechildrens.org/en/patients-visitors/medical-records/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.008190 | IL | MD | Clinical Neuropsychologist |
Interoperability endpoints
- mscottphd42937@uchospital.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1093090565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE # 10B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "312-227-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE # 10B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "312-227-6007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "MEGAN",
"middle_name": "NICOLE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-17",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.008190",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "IL",
"license": "071.008190",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "071.0088190",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/www.luriechildrens.org/en/patients-visitors/medical-records/",
"affiliation": "N",
"address_1": "225 E Chicago Ave # 10",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606112991",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.