Active NPI
Joan B Scott, PHD
- Psychologist
- Albuquerque, NM
National Provider Identifier
1902893688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 144
- Practice address
- 4308 Carlisle Blvd NE
Ste 210
Albuquerque, NM 87107-4856 - Phone
- (505) 247-1921
- Fax
- (505) 247-1020
- NPI assigned
- Sep 29, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 144 | NM | Primary |
Addresses
Primary practice location
4308 Carlisle Blvd NE
Ste 210
Albuquerque, NM 87107-4856
Mailing address
4308 Carlisle Blvd NE
Ste 210
Albuquerque, NM 87107-4849
Phone (505) 247-1921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N6127 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- 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 |
|---|---|---|---|---|
| I20060809000107 | NM | Practitioner - Clinical Psychologist | 3779586920 | Practice locations: Albuquerque, NM |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4308 Carlisle Blvd NE
Suite 210
Albuquerque, NM 87107-4849
Phone (505) 247-1921
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144 | NM | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1902893688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4308 CARLISLE BLVD NE",
"address_2": "STE 210",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871074849",
"telephone_number": "505-247-1921",
"fax_number": "505-247-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4308 CARLISLE BLVD NE",
"address_2": "STE 210",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871074856",
"telephone_number": "505-247-1921",
"fax_number": "505-247-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "JOAN",
"middle_name": "B",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-29",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NM",
"license": "144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N6127",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.