Active NPI
Megan Rae Scott, BCBA
- Behavior Analyst
- Blue Mound, IL
National Provider Identifier
1245767185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-40518
- Practice address
- 322 S Saint Marie St
Blue Mound, IL 62513-9759 - Phone
- (217) 855-5485
- NPI assigned
- May 22, 2017
- Last updated
- May 24, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | ||
| Behavior Analyst | 103K00000X | 1-20-40518 | IL | Primary |
Addresses
Primary practice location
322 S Saint Marie St
Blue Mound, IL 62513-9759
Mailing address
322 S Saint Marie St
Blue Mound, IL 62513-9759
Phone (217) 855-5485
Other practice location 1
1630 Georgetown Rd
Tilton, IL 61833-8109
Phone (217) 443-4123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Alternatives Illinois, Inc. | Past | Accepting new patients | |
| Community Alternatives Illinois, Inc. | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Tilton, IL
- NPI 1275956971
-
- Intellectual Disabilities Intermediate Care Facility
- Tilton, IL
- NPI 1720265374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1245767185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 S SAINT MARIE ST",
"city": "BLUE MOUND",
"state": "IL",
"postal_code": "625139759",
"telephone_number": "217-855-5485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 S SAINT MARIE ST",
"city": "BLUE MOUND",
"state": "IL",
"postal_code": "625139759",
"telephone_number": "217-855-5485"
}
],
"practiceLocations": [
{
"address_1": "1630 Georgetown Rd",
"address_purpose": "LOCATION",
"city": "Tilton",
"state": "IL",
"postal_code": "618338109",
"country_code": "US",
"telephone_number": "217-443-4123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOTT",
"first_name": "MEGAN",
"middle_name": "RAE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-22",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-20-40518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Mound, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.