Active NPI
Scott Nelson Andrews, PH.D.
- Clinical Psychologist
- Fitchburg, MA
National Provider Identifier
1336236173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4663
- Practice address
- 32 Adams St.
Fitchburg, MA 01420 - Phone
- (978) 342-4344
- Fax
- (978) 342-2806
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 4663 | MA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 4663 | MA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 4663 | MA | |
| Family Psychologist | 103TF0000X | 4663 | MA | |
| Clinical Psychologist | 103TC0700X | 4663 | MA | Primary |
Addresses
Primary practice location
32 Adams St.
Fitchburg, MA 01420
Mailing address
32 Adams St.
Fitchburg, MA 01420
Phone (978) 342-4344
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W04446 | Other | MA | BLUE CROSS & BLUE SHIELD |
| 014641 | Other | MA | VALUE OPTIONS |
| 763506 | Other | MA | TUFTS |
| 043381331-01 | Other | MA | PACIFICARE |
| 0525839 | Medicaid | MA | |
| 1037540 | Other | MA | FALLON HEALTH PLAN |
| S030353-A002 | Other | MA | CHAMPUS |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4663 | MA | MD | Family Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Worcester Psychological Consultants | Clinical Neuropsychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Psychologist
- Fitchburg, MA
- NPI 1225104532
Clinical Neuropsychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518566400000",
"number": "1336236173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 ADAMS ST.",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "01420",
"telephone_number": "978-342-4344",
"fax_number": "978-342-2806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 ADAMS ST.",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "01420",
"telephone_number": "978-342-4344",
"fax_number": "978-342-2806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "SCOTT",
"middle_name": "NELSON",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2018-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "4663",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MA",
"license": "4663",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "4663",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MA",
"license": "4663",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "4663",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "W04446",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "014641",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "763506",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "043381331-01",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0525839",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON HEALTH PLAN",
"identifier": "1037540",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "S030353-A002",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fitchburg, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.