Individual provider Active NPI

Michelle Scargle, MD

  • Psychiatry Physician
  • Clearwater, FL
National Provider Identifier
1093867012
Registry record updated Aug 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 0092792 Issued in FL
Practice address
2454 N McMullen Booth Rd Ste 501-504
Clearwater, FL 33759-1353
Phone
(727) 285-8770
Fax
(727) 285-8774
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME 0092792 FL Primary

Addresses

Primary practice location

2454 N McMullen Booth Rd Ste 501-504
Clearwater, FL 33759-1353

Mailing address

2454 N McMullen Booth Rd Ste 502
Clearwater, FL 33759-1340
Phone (727) 285-8770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080508000745 FL Practitioner - Psychiatry 6103905690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Miami, LM Miller School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michelle R Scargle MD PAGroup PAC ID 9436217841, 6 clinicians

Practice addresses (Care Compare)

2454 N McMullen Booth Rd
Suite 502
Clearwater, FL 33759-1340
Phone (727) 265-8770

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 0092792FLMDPsychiatry Physician

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1093867012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 N MCMULLEN BOOTH RD STE 502",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591340",
            "telephone_number": "727-285-8770",
            "fax_number": "727-285-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 N MCMULLEN BOOTH RD STE 501-504",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591353",
            "telephone_number": "727-285-8770",
            "fax_number": "727-285-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARGLE",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 0092792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.