Active NPI
Scott McClelland, DO
- Psychiatry Physician
- Rocky Mount, NC
National Provider Identifier
1861484230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 12841
- Practice address
- 114 Forest Hill Ave
Suite 2
Rocky Mount, NC 27804-3728 - Phone
- (252) 628-8300
- Fax
- (252) 642-6622
- NPI assigned
- Aug 22, 2005
- Last updated
- Feb 22, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 12841 | NC | Primary |
Addresses
Primary practice location
114 Forest Hill Ave
Suite 2
Rocky Mount, NC 27804-3728
Mailing address
PO Box 30365
Greenville, NC 27833-0365
Phone (252) 628-8300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134GA | Other | NC | BCBS NC |
| 89134GA | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12841 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whiteville Mat Services, Inc. | Current | Accepting new patients | |
| Comprehensive Mental Health, P.a. | Psychiatry | Past | Accepting new patients |
| Care First Mental Health, PA | Psychiatry | Past | Accepting new patients |
| Alternative Care Treatments Systems, Inc | Past | Accepting new patients | |
| Bridges of Hope Inc | Past | Accepting new patients |
Locations
109 Leslie Newsome Ave
Whiteville, NC 28472
Phone (910) 640-1830
Organizations & group practices 5
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.
-
- Methadone Clinic
- Whiteville, NC
- NPI 1740868744
-
- Community/Behavioral Health Agency
- Goldsboro, NC
- NPI 1558487421
-
- Multi-Specialty Clinic/Center
- Wilson, NC
- NPI 1801105408
-
- Psychiatry Physician
- Rocky Mount, NC
- NPI 1447481510
-
- Psychiatry Physician
- Rocky Mount, NC
- NPI 1093017162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298332800000",
"number": "1861484230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30365",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278330365",
"telephone_number": "252-628-8300",
"fax_number": "252-642-6622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 FOREST HILL AVE",
"address_2": "SUITE 2",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278043728",
"telephone_number": "252-628-8300",
"fax_number": "252-642-6622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLELLAND",
"first_name": "SCOTT",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2011-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "12841",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "134GA",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89134GA",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.