Individual provider Active NPI

Scott David Struck, FLP

  • Psychologist
  • Charlotte, MI
National Provider Identifier
1861458283
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301008963 Issued in MI
Practice address
551 Courthouse Dr
Charlotte, MI 48813-1054
Phone
(517) 543-5100
Fax
(517) 346-8291
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301008963 MI Primary

Addresses

Primary practice location

551 Courthouse Dr
Charlotte, MI 48813-1054

Mailing address

812 E Jolly Rd
Ste 210
Lansing, MI 48910-6818
Phone (517) 346-8410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20071023000532 MI Practitioner - Clinical Psychologist 6204922131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

228 S Cochran Ave
Charlotte, MI 48813-1551
Phone (517) 543-5100

812 E Jolly Rd
Lansing, MI 48910-6821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Authority Clinton Eaton Ingham Counties CurrentSince Jan 1, 2007 Accepting new patients
Genoa Healthcare LLC Past Accepting new patients

Locations

551 Courthouse Dr
Ste 5
Charlotte, MI 48813
Phone (517) 543-5100

228 S Cochran Ave
Charlotte, MI 48813
Phone (517) 543-5100

812 E Jolly Rd
Ste 210
Lansing, MI 48910
Phone (517) 237-7162

Organizations & group practices 2

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861458283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 E JOLLY RD",
            "address_2": "STE 210",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489106818",
            "telephone_number": "517-346-8410",
            "fax_number": "517-346-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 COURTHOUSE DR",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131054",
            "telephone_number": "517-543-5100",
            "fax_number": "517-346-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUCK",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "credential": "FLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301008963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, MI

Sources for this page

Verify at the official NPI Registry.