NPIMap

Individual provider Active NPI

Mason B. Scott, PH.D.

  • Clinical Neuropsychologist
  • Jeannette, PA
National Provider Identifier
1578650495
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PS003485L Issued in PA
Practice address
130 Bigelow St
Jeannette, PA 15644-2683
Phone
(724) 527-5104
NPI assigned
Oct 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS003485L PA Primary

Addresses

Primary practice location

130 Bigelow St
Jeannette, PA 15644-2683

Mailing address

2771 Shamrock Dr
Allison Park, PA 15101-3146
Phone (724) 527-5104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS003485LPAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Humanim Targeted Case Management PastSince Jan 1, 1990 Accepting new patients
Humanim Inc PastSince Jan 1, 1990 Accepting new patients
Humanim Supported Employment MC PastSince Jan 1, 1990 Accepting new patients
Humanim TBS PastSince Jan 1, 1990 Accepting new patients
Humanim Inc PastSince Jan 1, 1990 Accepting new patients
Humanim Supported Employment HC PastSince Jan 1, 1990 Accepting new patients
Humanim Supported Employment HC PastSince Jan 1, 1990 Accepting new patients
Humanim Inc PastSince Jan 1, 1990 Accepting new patients
Humanim Supported Employment Aa PastSince Jan 1, 1990 Accepting new patients
Keystone Neuro-Rehab, Inc Past Accepting new patients
Humanim-Workfirst PastSince Jan 1, 1990 Accepting new patients
Humanim Inc PastSince Jan 1, 1990 Accepting new patients
Keystone Neuro-Rehab, Inc Past Accepting new patients

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578650495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 SHAMROCK DR",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151013146",
            "telephone_number": "724-527-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BIGELOW ST",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442683",
            "telephone_number": "724-527-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MASON",
        "middle_name": "B.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS003485L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeannette, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.