Individual provider Active NPI

Andrew Walther Scott, PHD, MA

  • Psychologist
  • La Jolla, CA
National Provider Identifier
1467617324
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
8950 Villa la Jolla Dr Ste C121
La Jolla, CA 92037-1707
Phone
(888) 699-4873
Fax
(805) 472-6099
NPI assigned
Jul 21, 2008
Last updated
Oct 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

8950 Villa la Jolla Dr Ste C121
La Jolla, CA 92037-1707

Mailing address

126 E Haley St Ste A11
C.O. Mariela Marin, Director of Counseling and Recovery
Santa Barbara, CA 93101-2389

Other practice location 1

126 E Haley St Ste A11
C.O. Mariela Marin, Director of Counseling and Recovery
Santa Barbara, CA 93101-2389
Phone (805) 963-3636 ext. 129

Other names 1

  • William Andrew Walther Former name

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
Master of Arts, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Acacia Psychological Corporation Psychologist PastSince Oct 6, 2019 Accepting new patients
Pacific Pride Foundation Past Accepting new patients
Pacific Pride Foundation Past Accepting new patients

Organizations & group practices 3

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1467617324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E HALEY ST STE A11",
            "address_2": "C.O. MARIELA MARIN, DIRECTOR OF COUNSELING AND RECOVERY",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR STE C121",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371707",
            "telephone_number": "888-699-4873",
            "fax_number": "805-472-6099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 E Haley St Ste A11",
            "address_2": "C.O. Mariela Marin, Director of Counseling and Recovery",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931012389",
            "country_code": "US",
            "telephone_number": "805-963-3636 x129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "ANDREW",
        "middle_name": "WALTHER",
        "name_prefix": "Mr.",
        "credential": "PHD, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "WALTHER",
            "middle_name": "ANDREW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.