Individual provider Active NPI

Scott Leydig, PSY.D.

  • Clinical Psychologist
  • Plantation, FL
National Provider Identifier
1770954604
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY9401 Issued in FL
Practice address
130 S University Dr Ste D
Plantation, FL 33324
Phone
(855) 453-9344
NPI assigned
Oct 19, 2015
Last updated
Jul 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY9401 FL Primary

Addresses

Primary practice location

130 S University Dr Ste D
Plantation, FL 33324

Mailing address

130 S University Dr Ste D
Plantation, FL 33324-3347
Phone (855) 453-9344

Other practice location 1

7800 W Oakland Park Blvd
Suite 102
Sunrise, FL 33351-6741
Phone (954) 742-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20160205001187 FL Practitioner - Clinical Psychologist 3375847726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

130 S University Dr
Suite D
Plantation, FL 33324-3347
Phone (855) 453-9344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Leydig, Psy.D., LLC CurrentSince Jul 1, 2018 Accepting new patients

Locations

130 S University Dr
Ste D
Plantation, FL 33324
Phone (855) 453-9344

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

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1770954604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S UNIVERSITY DR STE D",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243347",
            "telephone_number": "855-453-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S UNIVERSITY DR STE D",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "855-453-9344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 W Oakland Park Blvd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333516741",
            "country_code": "US",
            "telephone_number": "954-742-8400",
            "fax_number": "954-742-0918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEYDIG",
        "first_name": "SCOTT",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-19",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.