Scott Cologne, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A117417 Issued in CA

Practice address

12865 Pointe del Mar Way Ste 210
Del Mar, CA 92014-3860

Phone

(855) 427-2778

Fax

(858) 794-7218

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

Yes

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.

• Mark David Levine, MD Burlingame PC

  • Psychiatry Physician
  • San Mateo, CA
  • NPI 1770709263

  Psychiatry

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (1 of 2)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 19, 2022.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1215055421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12865 POINTE DEL MAR WAY STE 210",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143860",
            "telephone_number": "855-427-2778",
            "fax_number": "858-794-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12865 POINTE DEL MAR WAY STE 210",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143860",
            "telephone_number": "855-427-2778",
            "fax_number": "858-794-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOGNE",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A117417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul E. Chasan, M.D. FACS
• Angela Yu-Fen Chen, LMFT
• Francis Vincent Chisari, MD
• Coast Pediatrics del Mar
• Colette Lord PHD Psychologist Inc.
• Lisa Rene Cook, FNP
• Corinna Young Casey PH D Psychology
• Bryce Corley Lillie, DPT
• Mallory Wade Corley, DPT
• Hannah Olivia Courter

• All providers in Del Mar, CA
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.