Individual provider Active NPI

Karen Lee Scott, PSYD

  • Psychologist
  • Greenville, SC
National Provider Identifier
1639211014
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
743 Issued in SC
Practice address
3519 Pelham Rd
Suite 103
Greenville, SC 29615-4182
Phone
(864) 234-6778
Fax
(864) 234-2474
NPI assigned
Feb 13, 2007
Sex
Female
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
Psychologist 103T00000X 743 SC Primary

Addresses

Primary practice location

3519 Pelham Rd
Suite 103
Greenville, SC 29615-4182

Mailing address

3519 Pelham Rd
Suite 103
Greenville, SC 29615-4182
Phone (864) 234-6778

Other names 1

  • Dr. Karen Lee Scott Kubras Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20110127000142 SC Practitioner - Clinical Psychologist 8224217914 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Therapy Center PA Psychologist CurrentSince Jul 2, 2002 Accepting new patients

Locations

3519 Pelham Rd
Ste 201
Greenville, SC 29615
Phone (409) 356-9715

81 Pointe Cir
#A
Greenville, SC 29615
Phone (864) 234-6778

3519 Pelham Rd
Ste 103
Greenville, SC 29615
Phone (864) 234-6778

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639211014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 PELHAM RD",
            "address_2": "SUITE 103",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154182",
            "telephone_number": "864-234-6778",
            "fax_number": "864-234-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 PELHAM RD",
            "address_2": "SUITE 103",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154182",
            "telephone_number": "864-234-6778",
            "fax_number": "864-234-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KAREN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SC",
            "license": "743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "SCOTT KUBRAS",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.