L. Scott Fairchild, PSY. D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 6051 Issued in FL

Practice address

1370 Bedford Dr
Suite 106
Melbourne, FL 32940-1993

Phone

(321) 253-8887

Fax

(321) 253-8878

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

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

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Baytree Behavioral Health PAGroup PAC ID 0244298313, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Baytree Behavioral Health PA

  • Psychologist
  • Melbourne, FL
  • NPI 1447302633
  Medicare reassignment Care Compare group NPD Authorized official
• Atlantic Psychiatric Centers, Inc.

  • Psychiatry Physician
  • Palm Bay, FL
  • NPI 1386691418
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1497807994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 BEDFORD DR",
            "address_2": "SUITE 106",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401993",
            "telephone_number": "321-253-8887",
            "fax_number": "321-253-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 BEDFORD DR",
            "address_2": "SUITE 106",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401993",
            "telephone_number": "321-253-8887",
            "fax_number": "321-253-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "L.",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 6051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyewearllc
• F .Matuk M.D.,P.a.
• Facial Surgery Center PA
• Factory Reset Chiropractic and Wellness
• Carol Jeanette Fairchild, ARNP
• Fairview Avenue LLC (BrightStar Care Brevard & Osceola)
• Ignacio Falcon
• Valerie Falcone
• Sherene T Falconer, MD
• Chirag Faldu, M.D.

• Psychologist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.