Active NPI
Richard Scott, PH.D
- Psychologist
- Saint Louis, MO
National Provider Identifier
1326074279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 01567
- Practice address
- 621 S New Ballas Rd
Ste 112a
Saint Louis, MO 63141-8232 - Phone
- (314) 251-6545
- Fax
- (314) 251-5808
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | PY01567 | MO | |
| Psychologist | 103T00000X | 01567 | MO | Primary |
Addresses
Primary practice location
621 S New Ballas Rd
Ste 112a
Saint Louis, MO 63141-8232
Mailing address
10820 Sunset Office Dr Ste 122
Saint Louis, MO 63127-1029
Phone (314) 994-9000
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY01567 | MO | MD | Forensic Psychologist |
| 01567 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1326074279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10820 SUNSET OFFICE DR STE 122",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631271029",
"telephone_number": "314-994-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD",
"address_2": "STE 112A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418232",
"telephone_number": "314-251-6545",
"fax_number": "314-251-5808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "MO",
"license": "PY01567",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "01567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.