Scott Charles Doughty, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37CA00112100 Issued in NJ

Practice address

130 Powerville Rd
Boonton, NJ 07005-8705

Phone

(973) 316-1872

NPI assigned

Oct 30, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1366919185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 POWERVILLE RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070058705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 POWERVILLE RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070058705",
            "telephone_number": "973-316-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHTY",
        "first_name": "SCOTT",
        "middle_name": "CHARLES",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37CA00112100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Martin Diaz
• Robert Joseph Dibenedetto, MD
• Kasey C Divine, CNM
• Lisa Calabrese Dodgen, MA
• Joseph Ryan Donofrio
• Drug Fair Group, Inc. (Drug Fair of Boonton 54)
• Stacy Lynn Dutka
• Echo Blue Enterprise LLC
• Kezie Adaku Egbuchulam, RPH
• Christie Encarnacion

• Addiction (Substance Use Disorder) Counselor in Boonton, NJ
• Providers in Boonton, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.