Individual provider Active NPI

Megan Rae Scott, BCBA

  • Behavior Analyst
  • Blue Mound, IL
National Provider Identifier
1245767185
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-40518 Issued in IL
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.