Individual provider Active NPI

James L Scott, MD

  • Psychiatry Physician
  • Hamden, CT
National Provider Identifier
1801877808
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
022953 Issued in CT
Practice address
95 Circular Ave
Hamden, CT 06514-4004
Phone
(203) 288-6253
Fax
(203) 288-0948
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 022953 CT Primary

Addresses

Primary practice location

95 Circular Ave
Hamden, CT 06514-4004

Mailing address

95 Circular Ave
Hamden, CT 06514-4004
Phone (203) 288-6253

Other identifiers 1

IdentifierTypeStateIssuer
004167715MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101223000165 CT Practitioner - Psychiatry 4385832955 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Hahneman Medical College of the Pacific, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of ConnecticutGroup PAC ID 8022915677, 267 clinicians

Practice addresses (Care Compare)

1635 Central Ave
Bridgeport, CT 06610-2717
Phone (203) 551-7464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
022953CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut CurrentSince Jul 16, 1998 Accepting new patients
Yale University Psychiatry CurrentSince Mar 1, 1997 Accepting new patients
State of Connecticut CurrentSince Jul 16, 1998 Accepting new patients
Yale University CurrentSince Mar 1, 1997 Accepting new patients

Locations

1635 Central Ave
Bridgeport, CT 06610
Phone (203) 551-7464

95 Circular Ave
Hamden, CT 06514
Phone (203) 288-6253

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

Organizations & group practices 4

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1801877808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CIRCULAR AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065144004",
            "telephone_number": "203-288-6253",
            "fax_number": "203-288-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 CIRCULAR AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065144004",
            "telephone_number": "203-288-6253",
            "fax_number": "203-288-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JAMES",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "022953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004167715",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.