Scott Fitzgerald Patrick, CDCA II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

163624 Issued in OH

Practice address

111 W Water St
Chillicothe, OH 45601-2452

Phone

(740) 851-4432

NPI assigned

Apr 11, 2018

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1518464031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 S. PAINT ST.",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "45601",
            "telephone_number": "740-771-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W WATER ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012452",
            "telephone_number": "740-851-4432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 S. Paint St.",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "45601",
            "country_code": "US",
            "telephone_number": "740-649-4622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "SCOTT",
        "middle_name": "FITZGERALD",
        "name_prefix": "Mr.",
        "credential": "CDCA II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "163624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0276413",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Kiran Patel, D.D.S
• Shashikant B Patel, MD
• Shital Patel, OD
• Amanda Lynn Patrick, RN
• Crystal Dawn Patrick, CDCA NCMA
• Patterson Family Medical
• Andrew Patterson, LPN
• Angela R Patterson, LPN
• Denise Marie Patterson, DTR
• Joshua Patterson, PHARMD

• Addiction (Substance Use Disorder) Counselor in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.