Kenneth C Scott, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY18087 Issued in CA

Practice address

3201 Wilshire Blvd
Suite 201
Santa Monica, CA 90403-2344

Phone

(310) 569-8321

Fax

(310) 829-7868

NPI assigned

Mar 21, 2007

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Kenneth Scott, Psy.D., a Psychological Corporation

  • Psychologist
  • Encino, CA
  • NPI 1619441078
  NPD Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1659497964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 WILSHIRE BLVD",
            "address_2": "SUITE 201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032344",
            "telephone_number": "310-569-8321",
            "fax_number": "310-829-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 WILSHIRE BLVD",
            "address_2": "SUITE 201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032344",
            "telephone_number": "310-569-8321",
            "fax_number": "310-829-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KENNETH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY18087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Duong, DC
• Scott E Powell MD, Apc
• Scott Gould Newhart, DMD, Inc.
• Scott L. Rosenzweig M.D. Inc.
• Gregory J. Scott, MA CCC-SLP
• Sea Change
• Sea Change Recovery 2 LLC
• Sea Change Recovery 2 LLC
• Sea Change Santa Monica, L.P.
• Sea Change Santa Monica, LP

• Psychologist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.