Active NPI
Mary Ann Scott, PHD
- Clinical Neuropsychologist
- Lowell, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 96-27P
- Practice address
- 519 Latham Dr
Lowell, AR 72745-8360 - Phone
- (479) 750-0125
- Fax
- (479) 750-0323
- NPI assigned
- Oct 13, 2006
- Last updated
- Mar 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 96-27P | AR | Primary |
Addresses
Primary practice location
519 Latham Dr
Lowell, AR 72745-8360
Mailing address
519 Latham Dr
Lowell, AR 72745-8360
Phone (479) 750-0125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118426726 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96-27P | AR | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Past | Accepting new patients |
Locations
1301 Wolfe St
Little Rock, AR 72202
Phone (501) 364-1830
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
1 Childrens Way
Ste 653
Little Rock, AR 72202
4301 W Markham St
Ste 783
Little Rock, AR 72205
Phone (501) 603-1278
519 Latham Dr
Lowell, AR 72745
Phone (479) 750-0125
507 W Monroe Ave
Lowell, AR 72745
Phone (479) 334-7030
Organizations & group practices 4
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.
-
dba Childrens University Medical Group
- Pediatrics Physician
- Little Rock, AR
- NPI 1346230968
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
dba Schmieding Developmental Center
- Developmental - Behavioral Pediatrics Physician
- Lowell, AR
- NPI 1407021280
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459123200000",
"number": "1659461218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 LATHAM DR",
"city": "LOWELL",
"state": "AR",
"postal_code": "727458360",
"telephone_number": "479-750-0125",
"fax_number": "479-750-0323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 LATHAM DR",
"city": "LOWELL",
"state": "AR",
"postal_code": "727458360",
"telephone_number": "479-750-0125",
"fax_number": "479-750-0323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "MARY ANN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2016-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "AR",
"license": "96-27P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118426726",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.