Individual provider Active NPI

Scott Jerauld Adams, PSY.D.

  • Clinical Psychologist
  • Bedford, NH
National Provider Identifier
1871730390
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
00015 Issued in NH
Practice address
18 Constitution Dr Ste 1
Bedford, NH 03110-6076
Phone
(303) 898-9347
NPI assigned
Jan 21, 2009
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
00015NHMDClinical 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": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.