NPIMap

Organization Active NPI

Scott Community Care, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Moscow, ID
National Provider Identifier
1811015308
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
8058915 Issued in ID
Legal business name
SCOTT COMMUNITY CARE, PLLC
Practice address
200 S Almon St Ste 101
Moscow, ID 83843-2098
Phone
(208) 877-1444
Fax
(208) 877-9004
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Melanie Jayne Scott, LSW-I
Title
Owner
Phone
(208) 877-1444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 8058915 ID Primary

Addresses

Primary practice location

200 S Almon St Ste 101
Moscow, ID 83843-2098

Mailing address

PO Box 307
Deary, ID 83823-0307
Phone (208) 877-1444

Other identifiers 1

IdentifierTypeStateIssuer
805891500MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
Scott Community Care PLLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1811015308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "DEARY",
            "state": "ID",
            "postal_code": "838230307",
            "telephone_number": "208-877-1444",
            "fax_number": "208-877-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ALMON ST STE 101",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432098",
            "telephone_number": "208-877-1444",
            "fax_number": "208-877-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT COMMUNITY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "JAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-877-1444",
        "authorized_official_credential": "LSW-I"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ID",
            "license": "8058915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805891500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.