Active NPI
Scott Jerauld Adams, PSY.D.
- Clinical Psychologist
- Bedford, NH
National Provider Identifier
1871730390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 00015
- Practice address
- 18 Constitution Dr Ste 1
Bedford, NH 03110-6076 - Phone
- (303) 898-9347
- NPI assigned
- Jan 21, 2009
- Last updated
- Mar 24, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2872 | CO | |
| Clinical Psychologist | 103TC0700X | 00015 | NH | Primary |
Addresses
Primary practice location
18 Constitution Dr Ste 1
Bedford, NH 03110-6076
Mailing address
18 Constitution Dr Ste 1
Bedford, NH 03110-6076
Phone (303) 898-9347
Other practice location 1
90 Madison St
Suite 402
Denver, CO 80206-5418
Phone (303) 898-9347
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180813001221 | NH | Practitioner - Clinical Psychologist | 8921156233 | Practice locations: Bedford, NH |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
18 Constitution Dr
Suite 1
Bedford, NH 03110-6076
Phone (303) 898-9347
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00015 | NH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1871730390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CONSTITUTION DR STE 1",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106076",
"telephone_number": "303-898-9347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 CONSTITUTION DR STE 1",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106076",
"telephone_number": "303-898-9347"
}
],
"practiceLocations": [
{
"address_1": "90 Madison St",
"address_2": "Suite 402",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802065418",
"country_code": "US",
"telephone_number": "303-898-9347",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADAMS",
"first_name": "SCOTT",
"middle_name": "JERAULD",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-21",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "2872",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NH",
"license": "00015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.