Individual provider Active NPI

James Michael Scott, M.A.

  • Clinical Psychologist
  • Nashville, TN
National Provider Identifier
1487856035
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PE0000000797 Issued in TN
Practice address
2900 Lebanon Pike Ste 100
Nashville, TN 37214-2571
Phone
(615) 491-4002
Fax
(800) 507-8501
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PE0000000797 TN Primary

Addresses

Primary practice location

2900 Lebanon Pike Ste 100
Nashville, TN 37214-2571

Mailing address

2900 Lebanon Pike Ste 100
Nashville, TN 37214-2571
Phone (615) 491-4002

Other practice location 1

1891 Old Trenton Rd
Clarksville, TN 37040-6734
Phone (931) 552-4171 ext. 111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151022001867 TN Practitioner - Clinical Psychologist 1658680186 Practice locations: Clarksville, TN; Nashville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1891 Old Trenton Rd
Clarksville, TN 37040-6734
Phone (931) 552-4171

2001 21St S Ave
Suite 304
Nashville, TN 37212-4323
Phone (615) 491-4002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PE0000000797TNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Wellness Center of Clarksville, PC Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1487856035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LEBANON PIKE STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372142571",
            "telephone_number": "615-491-4002",
            "fax_number": "800-507-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LEBANON PIKE STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372142571",
            "telephone_number": "615-491-4002",
            "fax_number": "800-507-8501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1891 Old Trenton Rd",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370406734",
            "country_code": "US",
            "telephone_number": "931-552-4171 x111",
            "fax_number": "931-551-9485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "PE0000000797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.