Scott D. Bush, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1MH 7825 Issued in FL

Practice address

3000 N Atlantic Ave
Suite 102
Cocoa Beach, FL 32931-5078

Phone

(321) 784-5367

Fax

(321) 783-2290

NPI assigned

May 11, 2011

Last updated

May 11, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family and Pediatric Clinic

  • Counselor
  • Cocoa Beach, FL
  • NPI 1508269747
  NPD (past)
• Family and Pediatric Clinic

  • Community/Behavioral Health Agency
  • Cocoa Beach, FL
  • NPI 1538365556
  NPD (past)

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1619269495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N. ATLANTIC AVE.",
            "address_2": "SUITE 102",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "32931",
            "telephone_number": "321-784-5367",
            "fax_number": "321-783-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N ATLANTIC AVE",
            "address_2": "SUITE 102",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329315078",
            "telephone_number": "321-784-5367",
            "fax_number": "321-783-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "SCOTT",
        "middle_name": "D.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "1MH 7825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brevard Pathology PA
• Brevard Pathology PA
• Ashley Briscoe, APRN
• Brenda Marie Britten, ARNP-C
• Richard Burklew III, LMHC
• Sheila Buzzo
• Sarah Grace Cain, DNP
• Callenberger Orthopedic Specialists LLC
• Mark Steven Callenberger, DO
• Craig Micheal Candle, M.D., M.P.H.

• Mental Health Counselor in Cocoa Beach, FL
• Providers in Cocoa Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.