NPIMap

Individual provider Active NPI

Scott Pollard, M.D.

  • Psychiatry Physician
  • Cody, WY
National Provider Identifier
1851366314
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
6273A Issued in WY
Practice address
424 Yellowstone Ave. Ste 220
Cody, WY 82414
Phone
(307) 578-2500
Fax
(307) 578-2492
NPI assigned
Feb 20, 2006
Last updated
Sep 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 13281 WV
Psychiatry Physician 2084P0800X 6273A WY Primary

Addresses

Primary practice location

424 Yellowstone Ave. Ste 220
Cody, WY 82414

Mailing address

707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 527-7501

Other identifiers 1

IdentifierTypeStateIssuer
0014673000MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130829000897 WY Practitioner - Psychiatry 8426002858 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical Branch at Galveston, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sage Psychiatry Services LLCGroup PAC ID 7517498793, 2 clinicians
West Park Hospital DistrictGroup PAC ID 7315855624, 85 clinicians

Practice addresses (Care Compare)

1002 Rumsey Ave
Suite a
Cody, WY 82414-3533
Phone (307) 395-7510

424 Yellowstone Ave
Cody, WY 82414-9309
Phone (307) 527-7501

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
888WYMDGeneral Practice Dentistry
13281WVMDPsychiatry Physician
6273AWYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cody Regional Health EMS CurrentSince Aug 25, 1999 Accepting new patients
West Park Hospital District CurrentSince Jul 23, 2013 Accepting new patients
Sage Psychiatry Services LLC Psychiatry CurrentSince Jun 30, 2024 Accepting new patients
West Park Hospital District CurrentSince Aug 25, 1999 Accepting new patients
Valley Comprehensive Community Mental Health Center Past Accepting new patients
West Park Hospital District Past Accepting new patients
Valley Comprehensive Community Mental Health Center, Inc. PastSince Aug 15, 2022 Accepting new patients

Locations

424 Yellowstone Ave
Cody, WY 82414
Phone (307) 578-2903

424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903

424 Yellowstone Ave
Ste 220
Cody, WY 82414
Phone (307) 578-2283

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1851366314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SHERIDAN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143409",
            "telephone_number": "307-527-7501",
            "fax_number": "307-578-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 YELLOWSTONE AVE. STE 220",
            "city": "CODY",
            "state": "WY",
            "postal_code": "82414",
            "telephone_number": "307-578-2500",
            "fax_number": "307-578-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "13281",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WY",
            "license": "6273A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014673000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

Verify at the official NPI Registry.