Individual provider Active NPI

Richard Scott, PH.D.

  • Psychologist
  • Murphysboro, IL
National Provider Identifier
1245534700
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071009132 Issued in IL
Practice address
1400 N Wood Rd
Murphysboro, IL 62966-6290
Phone
(618) 262-0747
Fax
(618) 615-4438
NPI assigned
Dec 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071009132 IL Primary

Addresses

Primary practice location

1400 N Wood Rd
Murphysboro, IL 62966-6290

Mailing address

1400 N Wood Rd
Murphysboro, IL 62966-6290
Phone (618) 262-0747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 4, 2024 through Feb 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071009132ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Center of the Midsouth Psychologist PastSince Dec 21, 2025 Accepting new patients
Samaritan Counseling Centers of the Mid-South PastSince Sep 5, 2023 Accepting new patients

Organizations & group practices 2

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": "1293408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1245534700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N WOOD RD",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629666290",
            "telephone_number": "618-262-0747",
            "fax_number": "618-615-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N WOOD RD",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629666290",
            "telephone_number": "618-262-0747",
            "fax_number": "618-615-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-27",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071009132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphysboro, IL

Sources for this page

Verify at the official NPI Registry.