Mary Sciotto, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810003831 Issued in VA

Practice address

10106 Krause Rd Ste 105
Chesterfield, VA 23832-6572

Phone

(804) 778-4471

Fax

(807) 778-4463

NPI assigned

Jul 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 23, 2019 through May 23, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Village Family Psychiatry, PLLC

  • Psychiatry Physician
  • Richmond, VA
  • NPI 1134203474
  NPD (past)

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1508066408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10106 KRAUSE RD STE 105",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326572",
            "telephone_number": "804-778-4471",
            "fax_number": "807-778-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10106 KRAUSE RD STE 105",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326572",
            "telephone_number": "804-778-4471",
            "fax_number": "807-778-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIOTTO",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508066408",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Grey Sapko-Fenters
• Albert T Sasala, D.D.S.
• Samantha Isabelle Scalia, FNP-C
• Kelsey Schaefer-Holt, MS, LAT, ATC, SFDN
• Anita M Schlank, ABPP, LCP, CSOTP
• Jennifer Leigh Sears-Cockram, LPC
• Adam Seehaver
• Susan Elizabeth Seip, LCSW
• Serenity Home Care, LLC
• Serenity Ride Care

• Clinical Psychologist in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.