Individual provider Active NPI

Scott Macgregor, PSYD

  • Psychologist
  • Hartford, CT
National Provider Identifier
1902034986
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
003529 Issued in CT
Practice address
331 Wethersfield Ave
Adult Services
Hartford, CT 06114-1420
Phone
(860) 236-4511
NPI assigned
Jun 29, 2009
Last updated
Sep 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 003529 CT Primary

Addresses

Primary practice location

331 Wethersfield Ave
Adult Services
Hartford, CT 06114-1420

Mailing address

331 Wethersfield Ave
Adult Services
Hartford, CT 06114-1420
Phone (860) 236-4511

Other identifiers 1

IdentifierTypeStateIssuer
CPH003609MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20170201000399 CT Practitioner - Clinical Psychologist 1658653449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Village for Families and Children IncGroup PAC ID 3072579895, 16 clinicians

Practice addresses (Care Compare)

331 Wethersfield Ave
Hartford, CT 06114-1420
Phone (860) 236-4511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003529CTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Village for Families & Children, Inc. CurrentSince Dec 6, 2016 Accepting new patients

Locations

1680 Albany Ave
Hartford, CT 06105
Phone (860) 236-4511

331 Wethersfield Ave
Hartford, CT 06114
Phone (860) 236-4511

Organizations & group practices 1

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": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1902034986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 WETHERSFIELD AVE",
            "address_2": "ADULT SERVICES",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141420",
            "telephone_number": "860-236-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 WETHERSFIELD AVE",
            "address_2": "ADULT SERVICES",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141420",
            "telephone_number": "860-236-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACGREGOR",
        "first_name": "SCOTT",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "003529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CPH003609",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.