Individual provider Active NPI

Dominique Nicole Scholl, M.A.

  • Student in an Organized Health Care Education/Training Program
  • West Chester, PA
National Provider Identifier
1104386150
Registry record updated Mar 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2 Waterview Rd Apt A5
West Chester, PA 19380-6352
Phone
(914) 574-1414
NPI assigned
Mar 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

2 Waterview Rd Apt A5
West Chester, PA 19380-6352

Mailing address

2 Waterview Rd Apt A5
West Chester, PA 19380-6352
Phone (914) 574-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20241025002159 NY Practitioner - Clinical Psychologist 3274066436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
State of New York Comptrollers OfficeGroup PAC ID 0840101770, 171 clinicians

Practice addresses (Care Compare)

220 White Plains Rd
Tarrytown, NY 10591-5837
Phone (914) 332-8950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc CurrentSince Sep 10, 2024 Accepting new patients
State of New York Comptrollers Office CurrentSince Dec 22, 2025 Accepting new patients
State of New York Comptrollers Office CurrentSince Dec 22, 2025 Accepting new patients

Locations

44 Holland Ave
Fl 4
Albany, NY 12208

83 Maiden Ln
New York, NY 10038
Phone (212) 780-2578

83 Maiden Ln
Fl 8
New York, NY 10038
Phone (212) 895-3477

83 Maiden Ln
Fl 7
New York, NY 10038
Phone (212) 780-2564

8045 Winchester Blvd
Bldg 80
Queens Village, NY 11427
Phone (718) 217-4242

220 White Plains Rd
Tarrytown, NY 10591
Phone (914) 332-8930

Organizations & group practices 3

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": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553385600000",
    "number": "1104386150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WATERVIEW RD APT A5",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806352",
            "telephone_number": "914-574-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WATERVIEW RD APT A5",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806352",
            "telephone_number": "914-574-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLL",
        "first_name": "DOMINIQUE",
        "middle_name": "NICOLE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-24",
        "last_updated": "2019-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.