Scotilla Psychological Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS016517 Issued in PA

Legal business name

SCOTILLA PSYCHOLOGICAL SERVICES LLC

Practice address

1315 S Allen St Ste 303
State College, PA 16801-5923

Phone

(814) 867-2866

Fax

(866) 283-4558

NPI assigned

May 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Scott J Scotilla, PSYD ICAADCNPI 1043437908

Title

Owner/Psychologist

Phone

(814) 867-2866

Specialties & licenses 6

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott J Scotilla, PSYD ICAADC

  • Clinical Psychologist
  • State College, PA
  • NPI 1043437908

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Keith B Wilson, PH.D., CRC, LPC, NCC

  • Professional Counselor
  • State College, PA
  • NPI 1841373792
  NPD (past)

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1861711939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10910",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168050910",
            "telephone_number": "814-867-2866",
            "fax_number": "866-283-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S ALLEN ST STE 303",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015923",
            "telephone_number": "814-867-2866",
            "fax_number": "866-283-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTILLA PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "SCOTILLA",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "814-867-2866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD ICAADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PS016517",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PA",
            "license": "PS016517",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016517",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "PA",
            "license": "PS016517",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "9683077",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scott@scotilla.com",
            "affiliation": "N",
            "endpointDescription": "secure, encrypted, business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1315 S Allen St Ste 303",
            "city": "State College",
            "state": "PA",
            "country_code": "US",
            "postal_code": "168015923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Natalie Cordell Schwer, MHS, PA-C
• Jeffery Robert Scipione, D.C
• John Scipione, D.C.
• John L Scipione, D.C.
• Timothy Jude Sciullo, D.C.
• Scott J Scotilla, PSYD ICAADC
• Heather S Scott, PHD
• Alyssa Sebastianelli, NP
• Hannah Jinhee Sebold, PA-C
• Cory D Sefchick, PA-C

• Clinical Psychologist in State College, PA
• Providers in State College, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.