NPIMap

Individual provider Active NPI

Scott M. Klenzak, M.D.

  • Psychiatry Physician
  • Southern Pines, NC
National Provider Identifier
1487696936
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
9701012 Issued in NC
Practice address
250 N Bennett St
Suite B
Southern Pines, NC 28387-4811
Phone
(910) 585-2203
Fax
(910) 692-3913
NPI assigned
Jun 11, 2006
Last updated
May 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 9701012 NC
Psychiatry Physician 2084P0800X 27585 WV
Psychiatry Physician 2084P0800X 9701012 NC Primary
Child & Adolescent Psychiatry Physician 2084P0804X 9701012 NC

Addresses

Primary practice location

250 N Bennett St
Suite B
Southern Pines, NC 28387-4811

Mailing address

154 Linden Pines PL
Aberdeen, NC 28315-5626
Phone (910) 585-2203

Other practice location 1

711 Executive Pl
Fayetteville, NC 28305-5193
Phone (910) 615-3333

Other practice location 2

1 Amalia Dr
Buckhannon, WV 26201-2239
Phone (304) 473-2000

Other practice location 3

3425 Melrose Rd
Fayetteville, NC 28304-1608
Phone (910) 615-3610

Other identifiers 1

IdentifierTypeStateIssuer
5902661MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NJ, SC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060406000454 NC Practitioner - Psychiatry 4486639457 Reassigns benefits to 2 organizations
I20180222001911 NJ Practitioner - Psychiatry 4486639457 Reassigns benefits to 1 organization
I20190111000743 SC Practitioner - Psychiatry 4486639457

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of North Carolina at Chapel Hill School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

711 Executive PL
Fayetteville, NC 28305-5193
Phone (910) 615-3333

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Behavioral Health, Inc. CurrentSince Jan 10, 2018 Accepting new patients
Cumberland County Hospital System Inc Psychiatry CurrentSince Jan 27, 2015 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jan 27, 2015 Accepting new patients
Atlanticare Behavioral Health, Inc CurrentSince Jan 10, 2018 Accepting new patients
Floyd Physicians, LLC Psychiatry Past Accepting new patients

Locations

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

3425 Melrose Rd
Fayetteville, NC 28304
Phone (910) 609-3700

501 Scarborough Dr
Fl 3
Egg Harbor Township, NJ 08234
Phone (609) 645-7600

6010 Black Horse Pike
Egg Hbr Twp, NJ 08234
Phone (609) 272-0909

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

Interoperability endpoints

  • Direct secure messaging: sklenzak@yourcarecommunity.org
  • Direct secure messaging: sklenzak10439@capefearvalley.direct-ci.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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1487696936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 LINDEN PINES PL",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283155626",
            "telephone_number": "910-585-2203",
            "fax_number": "910-692-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N BENNETT ST",
            "address_2": "SUITE B",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874811",
            "telephone_number": "910-585-2203",
            "fax_number": "910-692-3913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 Executive Pl",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283055193",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Amalia Dr",
            "address_purpose": "LOCATION",
            "city": "Buckhannon",
            "state": "WV",
            "postal_code": "262012239",
            "country_code": "US",
            "telephone_number": "304-473-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3425 Melrose Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283041608",
            "country_code": "US",
            "telephone_number": "910-615-3610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLENZAK",
        "first_name": "SCOTT",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NC",
            "license": "9701012",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "27585",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "9701012",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "9701012",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902661",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

Verify at the official NPI Registry.