Individual provider Active NPI

Scott C Harcourt, PHD

  • Psychologist
  • Palm Bay, FL
National Provider Identifier
1538407986
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY11983 Issued in FL
Practice address
5200 Babcock St NE Ste 304
Palm Bay, FL 32905-4648
Phone
(321) 209-2525
Fax
(321) 914-0010
NPI assigned
Jan 18, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY11983 FL Primary

Addresses

Primary practice location

5200 Babcock St NE Ste 304
Palm Bay, FL 32905-4648

Mailing address

5200 Babcock St NE Ste 304
Palm Bay, FL 32905-4648
Phone (321) 209-2525

Other practice location 1

1889 Keewin Ave NE
Palm Bay, FL 32905-3626
Phone (321) 917-4114

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240224000121 FL Practitioner - Clinical Psychologist 2163867623 Reassigns benefits to 1 organization
Practice locations: Palm Bay, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5200 Babcock St NE
Palm Bay, FL 32905-4648
Phone 32120925251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY11983FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychologist CurrentSince Feb 29, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1538407986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 BABCOCK ST NE STE 304",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054648",
            "telephone_number": "321-209-2525",
            "fax_number": "321-914-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 BABCOCK ST NE STE 304",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054648",
            "telephone_number": "321-209-2525",
            "fax_number": "321-914-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1889 Keewin Ave NE",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329053626",
            "country_code": "US",
            "telephone_number": "321-917-4114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARCOURT",
        "first_name": "SCOTT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-18",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY11983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.