Individual provider Active NPI

Lynval Scott

  • Psychiatric/Mental Health Nurse Practitioner
  • Meriden, CT
National Provider Identifier
1659101731
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
13598 Issued in CT
Practice address
278 Crown St
Meriden, CT 06450-6469
Phone
(860) 816-2714
NPI assigned
Aug 5, 2024
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13598 CT Primary

Addresses

Primary practice location

278 Crown St
Meriden, CT 06450-6469

Mailing address

278 Crown St
Meriden, CT 06450-6469
Phone (860) 816-2714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241028002873 CT Practitioner - Nurse Practitioner 6103359278
I20241224000067 MA Practitioner - Nurse Practitioner 6103359278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abstract Mind Psychiatric/Mental Health Current Accepting new patients
Achieve TMS Centers East, P.C. CurrentSince Oct 16, 2024 Accepting new patients

Locations

47 Pleasant St
Ste 1NW
Northampton, MA 01060
Phone (413) 230-3541

Interoperability endpoints

  • Direct secure messaging: greenbrooktmsct.lynvalscott@158268.advancedmd-direct.com
  • Direct secure messaging: greenbrooktmsma.lynvalscott@158765.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1659101731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 CROWN ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506469",
            "telephone_number": "860-816-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 CROWN ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506469",
            "telephone_number": "860-816-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "LYNVAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "13598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.