Individual provider Active NPI

Samuel D Scott, MD

  • Child & Adolescent Psychiatry Physician
  • Norfolk, VA
National Provider Identifier
1831584069
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
0101272267 Issued in VA
Practice address
401 Gresham Dr FL 9
Norfolk, VA 23507
Phone
(757) 668-4747
NPI assigned
Apr 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 0101272267 VA Primary

Addresses

Primary practice location

401 Gresham Dr FL 9
Norfolk, VA 23507

Mailing address

401 Gresham Dr FL 9
Norfolk, VA 23507
Phone (757) 668-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180328002205 TX Practitioner - Psychiatry 9931461134 Reassigns benefits to 5 organizations
I20250919000941 VA Practitioner - Psychiatry 9931461134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

811 Redgate Ave
Norfolk, VA 23507-1515

850 Southampton Ave
Norfolk, VA 23510-1021

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jason D. Baron, M.D., P.a. CurrentSince Feb 24, 2018 Accepting new patients
Camino Real Community MHMR Center CurrentSince Mar 1, 2020 Accepting new patients
Bluebonnet Trails Community MHMR Center CurrentSince Nov 5, 2019 Accepting new patients
Tri-County Behavioral Healthcare CurrentSince Jul 23, 2020 Accepting new patients
Jason D. Baron, M.D., PA Psychiatry CurrentSince Feb 24, 2018 Accepting new patients
Bluebonnet Trails Community MHMR Center Psychiatry CurrentSince Nov 5, 2019 Accepting new patients
Burke Center Psychiatry CurrentSince Dec 2, 2019 Accepting new patients
Childrens Specialty Group PLLC CurrentSince Jul 1, 2025 Accepting new patients
Burke Center PastSince Dec 2, 2019 Accepting new patients

Locations

706 Old Montgomery Rd
Conroe, TX 77301
Phone (936) 538-1102

233 Sgt Ed Holcomb Blvd S
Conroe, TX 77304
Phone (936) 521-6151

5500 Guhn Rd
Ste 100
Houston, TX 77040
Phone (713) 893-8889

1120 Cypress Station Dr
Houston, TX 77090
Phone (281) 893-7200

1749 E State Highway 97
Jourdanton, TX 78026
Phone (830) 767-2320

2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672

19965 FM 3175
Lytle, TX 78052
Phone (210) 357-0300

1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374

680 Oyster Point Rd
Newport News, VA 23606
Phone (757) 668-4673

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

850 Southampton Ave
Norfolk, VA 23510
Phone (757) 668-4673

1924 Landstown Centre Way
Virginia Beach, VA 23456
Phone (757) 668-4673

Organizations & group practices 9

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": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1831584069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 GRESHAM DR FL 9",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23507",
            "telephone_number": "757-668-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GRESHAM DR FL 9",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23507",
            "telephone_number": "757-668-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "SAMUEL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101272267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.