Individual provider Active NPI

Mercedas Scott, RBT

  • Behavior Technician
  • Pensacola, FL
National Provider Identifier
1730898776
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
4908 Randee Cir
Pensacola, FL 32526-2054
Phone
(985) 413-8127
NPI assigned
Nov 18, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

4908 Randee Cir
Pensacola, FL 32526-2054

Mailing address

4908 Randee Cir
Pensacola, FL 32526-2054
Phone (985) 413-8127

Other identifiers 1

IdentifierTypeStateIssuer
RBT-22-244680OtherRBT NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Mercedas@kaleidoscopebehaviorservices.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleidoscope Behavior Services CurrentSince Nov 20, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mercedas@kaleidoscopebehaviorservices.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1730898776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4908 RANDEE CIR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325262054",
            "telephone_number": "985-413-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4908 RANDEE CIR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325262054",
            "telephone_number": "985-413-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MERCEDAS",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT NUMBER",
            "identifier": "RBT-22-244680",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mercedas@kaleidoscopebehaviorservices.net",
            "affiliation": "N",
            "address_1": "4908 Randee Cir",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325262054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.