Kimberly Enders Scott, MED, MA, LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301014023 Issued in MI

Practice address

1000 W University Dr Ste 308
Rochester, MI 48307-1876

Phone

(248) 923-2099

Fax

(248) 923-2096

NPI assigned

Jan 31, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Education

State licenses

Practice roles

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.

• Insight Counseling Services LLC

  • Clinical Psychologist
  • Auburn Hills, MI
  • NPI 1306268396
  NPD (past)

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1215276969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16449 GRILLO DR",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480384007",
            "telephone_number": "586-201-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W UNIVERSITY DR STE 308",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071876",
            "telephone_number": "248-923-2099",
            "fax_number": "248-923-2096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 W Big Beaver Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480844736",
            "country_code": "US",
            "telephone_number": "248-244-8644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KIMBERLY",
        "middle_name": "ENDERS",
        "name_prefix": "Mrs.",
        "credential": "MED, MA, LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301014023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher John Schoenherr, M.D.
• Ashley Schutt
• Kenneth Schwarcz, PSYCHOLOGIST
• Bernard Schwartz, D.D.S.
• Kelly Scott, FNP
• Honour Selent
• Mukesh S Shah, M.D
• Ava Marie Shamoon, PA-C
• Matthew Marvin Shankle, MD
• Samantha M Shankle, CRNA

• Psychologist in Rochester, MI
• Providers in Rochester, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.