Scott W. Edington, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

001531 Issued in CT

Practice address

Maple Ridge Clinical Services, 1066 Storrs Road
Storrs, CT 06268

Phone

(860) 477-1515

Fax

(860) 429-2949

NPI assigned

Jan 12, 2006

Last updated

Dec 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carmel F. Cuyler

  dba Carmel F Cuyler, LCSW

  • Clinical Social Worker
  • Storrs, CT
  • NPI 1093095762
  NPD (past)
• Meg Bishop, LCSW, LLC

  • Clinical Social Worker
  • Storrs, CT
  • NPI 1336723733
  NPD (past)

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1720067374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 WOODLAND RD",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062681423",
            "telephone_number": "860-477-1515",
            "fax_number": "860-429-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAPLE RIDGE CLINICAL SERVICES, 1066 STORRS ROAD",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "06268",
            "telephone_number": "860-477-1515",
            "fax_number": "860-429-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDINGTON",
        "first_name": "SCOTT",
        "middle_name": "W.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "001531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004099710",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Judith Dugan, CNS
• Danielle Christine Earnest
• Rebecca Earp, ATC
• Kaylynn Ebertowski
• Meghan Helen Eckmann
• Megan Ehret, PHARMD
• Sally R Eldridge, PH.D.
• Joy Schloton Elwell, N.P.
• Heather Lee Erskine, LPC, NCC
• Kathryn E Filer, MA CCC-SLP

• Psychologist in Storrs, CT
• Providers in Storrs, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.

Verify at the official NPI Registry.