Active NPI
Scott Michael Stevens, M.D.
- Psychiatry Physician
- Pottsville, PA
National Provider Identifier
1215005582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD430333
- Practice address
- 16-18 S Centre St
Pottsville, PA 17901-3001 - Phone
- (570) 628-5234
- NPI assigned
- Dec 2, 2006
- Last updated
- Apr 5, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD430333 | PA | Primary |
| Psychiatry Physician | 2084P0800X | #233745 | NY |
Addresses
Primary practice location
16-18 S Centre St
Pottsville, PA 17901-3001
Mailing address
16-18 S Centre St
Pottsville, PA 17901-3001
Phone (570) 628-5234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #233745 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Council for Mental Health & Mental Retardation Inc | Past | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients | |
| Beth Israel Medical Center | Past | Accepting new patients | |
| Beth Israel Medical Center Psychiatry & Behavioral Science | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Philadelphia, PA
- NPI 1093849986
-
dba Jefferson GI
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
-
- Cognitive & Behavioral Psychologist
- New York, NY
- NPI 1275624199
-
- Cognitive & Behavioral Psychologist
- New York, NY
- NPI 1477582476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491350400000",
"number": "1215005582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16-18 S CENTRE ST",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179013001",
"telephone_number": "570-628-5234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16-18 S CENTRE ST",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179013001",
"telephone_number": "570-628-5234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "SCOTT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-02",
"last_updated": "2017-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD430333",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "#233745",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pottsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.