Active NPI
Mark Edward Scalco, PHD
- Psychologist
- Durham, NC
National Provider Identifier
1538109459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- NC1879
- Practice address
- 1502 NC Highway 54 West
Ste 603
Durham, NC 27707 - Phone
- (919) 419-3110
- Fax
- (919) 419-3110
- NPI assigned
- Jun 8, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NC1879 | NC | Primary |
Addresses
Primary practice location
1502 NC Highway 54 West
Ste 603
Durham, NC 27707
Mailing address
1502 NC Highway 54 West
Ste 603
Durham, NC 27707
Phone (919) 419-3110
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective Jun 16, 2016 through Jun 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1879 | NC | MD | Counselor |
| NC1879 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Betsy Pedersen PHD PC | Past | Accepting new patients | |
| Nicole a. Engel, PH.D., P..C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Durham, NC
- NPI 1346665882
-
- Clinical Psychologist
- Durham, NC
- NPI 1568583763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1538109459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 NC HIGHWAY 54 WEST",
"address_2": "STE 603",
"city": "DURHAM",
"state": "NC",
"postal_code": "27707",
"telephone_number": "919-419-3110",
"fax_number": "919-419-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 NC HIGHWAY 54 WEST",
"address_2": "STE 603",
"city": "DURHAM",
"state": "NC",
"postal_code": "27707",
"telephone_number": "919-419-3110",
"fax_number": "919-419-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCALCO",
"first_name": "MARK",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "NC1879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.