Active NPI
Jesse Aaron Scott, PH.D.
- Clinical Psychologist
- Las Vegas, NV
National Provider Identifier
1366060303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY1014
- Practice address
- 6787 W Tropicana Ave Ste 241
Las Vegas, NV 89103-4759 - Phone
- (480) 390-5332
- NPI assigned
- Jul 7, 2020
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY-005394 | AZ | |
| Clinical Psychologist | 103TC0700X | PY1014 | NV | Primary |
Addresses
Primary practice location
6787 W Tropicana Ave Ste 241
Las Vegas, NV 89103-4759
Mailing address
6787 W Tropicana Ave Ste 241
Las Vegas, NV 89103-4759
Phone (480) 390-5332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210623002793 | NV | Practitioner - Clinical Psychologist | 2365843729 |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
9713 Santa Monica Blvd
Suite 207
Beverly Hills, CA 90210-4200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY1014 | NV | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1366060303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6787 W TROPICANA AVE STE 241",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891034759",
"telephone_number": "480-390-5332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6787 W TROPICANA AVE STE 241",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891034759",
"telephone_number": "480-390-5332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "JESSE",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-07",
"last_updated": "2021-09-27",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "PSY-005394",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NV",
"license": "PY1014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.