Individual provider Active NPI

Scott Akridge, MD

  • Psychiatry Physician
  • Vacaville, CA
National Provider Identifier
1356845408
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
192058 Issued in CA
Practice address
1600 California Dr
Vacaville, CA 95687
Phone
(707) 448-6841
NPI assigned
Mar 22, 2018
Last updated
Jan 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X DR.0068567 CO
Psychiatry Physician 2084P0800X 2021025579 MO
Psychiatry Physician 2084P0800X 192058 CA Primary

Addresses

Primary practice location

1600 California Dr
Vacaville, CA 95687

Mailing address

98 Wadsworth Blvd # 127-3208
Lakewood, CO 80226-1550
Phone (512) 630-2204

Other practice location 1

1438 S Grand Blvd
Saint Louis, MO 63104-1027
Phone (314) 977-4828

Other practice location 2

425 S Cherry St Penthouse Suite
Denver, CO 80256-1027
Phone (720) 712-0300

Other practice location 3

98 Wadsworth Blvd # 127-3208
Lakewood, CO 80226-1550
Phone (512) 630-2204

Other practice location 4

4384 Main Street
Manchester, VT 05254
Phone (802) 768-9136

Other practice location 5

10450 Park Meadows Dr Ste 100
Lone Tree, CO 80124-5528
Phone (720) 707-6914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220727004262 CO Practitioner - Psychiatry 4082969167 Reassigns benefits to 3 organizations
I20220824001967 MO Practitioner - Psychiatry 4082969167 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
192058CAMDPsychiatry Physician
2021025579MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MRT Technologies, Inc. CurrentSince Nov 30, 2025 Accepting new patients
Uhs of Centennial Peaks, LLC CurrentSince May 14, 2022 Accepting new patients
MRT Technologies, Inc. CurrentSince Nov 5, 2023 Accepting new patients
Serenity TMS Centers LLC Psychiatry CurrentSince Sep 1, 2022 Accepting new patients
Uhs of Centennial Peaks LLC Current Accepting new patients
SLH Physicians LLC Psychiatry CurrentSince Jul 1, 2022 Accepting new patients
Taconic Integrative Psychiatric Services, PLLC Psychiatry PastSince Apr 30, 2023 Accepting new patients

Locations

425 S Cherry St
Fl 10
Glendale, CO 80246
Phone (720) 307-6670

255 S Routt St
Ste 250
Lakewood, CO 80228
Phone (720) 712-0300

10450 Park Meadows Dr
Ste 100
Lone Tree, CO 80124
Phone (720) 707-6914

2255 S 88th St
Louisville, CO 80027
Phone (303) 666-2095

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-1320

3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022

3300 N Triumph Blvd
Ste 500
Lehi, UT 84043
Phone (801) 821-2333

Interoperability endpoints

  • Direct secure messaging: sakridge256454@direct-ehr-ssmhc.com

Organizations & group practices 7

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": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1356845408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 WADSWORTH BLVD # 127-3208",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261550",
            "telephone_number": "512-630-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CALIFORNIA DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "95687",
            "telephone_number": "707-448-6841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1438 S Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631041027",
            "country_code": "US",
            "telephone_number": "314-977-4828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 S Cherry St Penthouse Suite",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802561027",
            "country_code": "US",
            "telephone_number": "720-712-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98 Wadsworth Blvd # 127-3208",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802261550",
            "country_code": "US",
            "telephone_number": "512-630-2204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4384 Main Street",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "VT",
            "postal_code": "05254",
            "country_code": "US",
            "telephone_number": "802-768-9136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10450 Park Meadows Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245528",
            "country_code": "US",
            "telephone_number": "720-707-6914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKRIDGE",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-22",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0068567",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2021025579",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "192058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.