Spencer Scott Psychologist Corp

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SPENCER SCOTT PSYCHOLOGIST CORP

Practice address

4605 Lankershim Blvd # 545
North Hollywood, CA 91602-1818

Phone

(323) 999-1395

NPI assigned

Jul 31, 2017

Organization subpart

No

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

Authorized official

Name

Dr. William Spencer Scott, PSYDNPI 1124548359

Title

Sole Owner

Phone

(323) 999-1395

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Spencer Scott, PSYD

  • Clinical Psychologist
  • North Hollywood, CA
  • NPI 1124548359
  Medicare reassignment Care Compare group Authorized official
• Ying-an CHI

  • Psychologist
  • North Hollywood, CA
  • NPI 1639787310
  Medicare reassignment Care Compare group NPD
• Jamie Michelle Gamboa, PSY.D.

  • Clinical Psychologist
  • North Hollywood, CA
  • NPI 1598242141
  Medicare reassignment Care Compare group NPD
• Derik Hossepian, PSY.D.

  • Psychologist
  • North Hollywood, CA
  • NPI 1477163004
  Medicare reassignment Care Compare group NPD
• Elisa Leal, PSY.D.

  • Psychologist
  • Santa Monica, CA
  • NPI 1992364905
  Medicare reassignment Care Compare group NPD
• Rebecca Lecroix, PH.D.

  • Psychologist
  • Whittier, CA
  • NPI 1508441312
  Medicare reassignment Care Compare group NPD
• Kari Jac Schall

  • Psychologist
  • North Hollywood, CA
  • NPI 1326778887
  Medicare reassignment Care Compare group NPD
• Yasaman Shamtoub, PHD

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1568697852
  Medicare reassignment Care Compare group NPD
• Mary-Jo Bautista, M.A.

  • Clinical Psychologist
  • Whittier, CA
  • NPI 1003166380
  Medicare reassignment NPD
• Susan CHI, PHD

  • Psychologist
  • Pasadena, CA
  • NPI 1548912942
  Medicare reassignment NPD
• Julia Markowski, PSYD

  • Psychologist
  • North Hollywood, CA
  • NPI 1528787603
  Medicare reassignment NPD
• Azeen Nafisi, PSYD, LP

  • Clinical Psychologist
  • Burbank, CA
  • NPI 1235625211
  Medicare reassignment NPD

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1194249292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 LANKERSHIM BLVD # 545",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916021818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 LANKERSHIM BLVD # 545",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916021818",
            "telephone_number": "323-999-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER SCOTT PSYCHOLOGIST CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "323-999-1395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124548359",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn-Mi Sotodeh, M.A., BCBA
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• Steven Robert Spivak, D.M.D.
• Marcy Sue Sproull, L.AC.

• Clinical Psychologist in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.