Stacie D. Otey-Scott, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004079 Issued in VA

Practice address

5326 Center St
Williamsburg, VA 23188-2815

Phone

(757) 533-2334

Fax

(757) 994-1511

NPI assigned

Mar 6, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 14

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Dr Sos, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Williamsburg, VA
  • NPI 1407550999
  NPD Authorized official
• Live Well by Dr. Sos

  • Adult Mental Health Clinic/Center
  • Williamsburg, VA
  • NPI 1255228961
  NPD Authorized official

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1689814485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5326 CENTER ST",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882815",
            "telephone_number": "757-533-2334",
            "fax_number": "757-994-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5326 CENTER ST",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882815",
            "telephone_number": "757-533-2334",
            "fax_number": "757-994-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTEY-SCOTT",
        "first_name": "STACIE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGED CARE",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BEHAVIORAL HEALTH (GHENT FAMILY MEDICINE",
            "identifier": "368853",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH COMMERICAL",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA BEHAVIORAL HEALTH",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK/TRICARE",
            "identifier": "440878",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA PREMIER HEALTH",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2731640",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA HEALTH NETWORK",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORVEL/CORCARE",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689814485",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BEHAVIORAL HEALTH (PORTSMOUTH FAMILY MEDICINE)",
            "identifier": "368851",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH SERVICES",
            "identifier": "MIS 600566-849",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Orth, RPH
• Michael Osborne, LPC
• Ossippee Dialysis LLC (Merrimac Trail Dialysis)
• Lisa Osterhoudt, LPTA
• Amanda N Ostroff, PSYD
• Lindsay M Otis, NP
• Outer Banks Anesthesia & Perioperative Care Specialists PLLC
• Catrell Owens-Agbeibor, MD
• Christina Owens, CPM, LM
• Edward Arthur Owens, DMD

• Clinical Psychologist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.