Active NPI
Andrew Walther Scott, PHD, MA
- Psychologist
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- 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, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acacia Psychological Corporation | Psychologist | Past | 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.
-
dba Acacia Counseling & Wellness
- Psychologist
- La Jolla, CA
- NPI 1316415359
-
- Community/Behavioral Health Agency
- Santa Barbara, CA
- NPI 1417075573
-
- Case Management Agency
- Santa Barbara, CA
- NPI 1902931892
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.