Active NPI
Raymond Lloyd Scott, PH.D.
- Clinical Psychologist
- Saint Louis, MO
National Provider Identifier
1922191527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2016016621
- Practice address
- 4231 Laclede Avenue
Saint Louis, MO 63108 - Phone
- (314) 561-2958
- Fax
- (314) 289-9983
- NPI assigned
- Oct 2, 2006
- Last updated
- Jun 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | PSY17363 | CA | |
| Clinical Psychologist | 103TC0700X | 2016016621 | MO | Primary |
Addresses
Primary practice location
4231 Laclede Avenue
Saint Louis, MO 63108
Mailing address
4231 Laclede Avenue
Saint Louis, MO 63108
Phone (314) 561-2958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY17363 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vericare of California Medical Group | Clinical | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Paradise, CA
- NPI 1316992829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1922191527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4231 LACLEDE AVENUE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63108",
"telephone_number": "314-561-2958",
"fax_number": "314-289-9983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4231 LACLEDE AVENUE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63108",
"telephone_number": "314-561-2958",
"fax_number": "314-289-9983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "RAYMOND",
"middle_name": "LLOYD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY17363",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2016016621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.