Individual provider Active NPI

Carolyn A Scott, PH.D.

  • Clinical Psychologist
  • Ypsilanti, MI
National Provider Identifier
1922344126
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301014729 Issued in MI
Practice address
5333 McAuley Dr RM 2010
Ypsilanti, MI 48197-1095
Phone
(734) 712-3565
NPI assigned
Dec 17, 2012
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 6301014729 MI
Clinical Psychologist 103TC0700X 6301014729 MI Primary

Addresses

Primary practice location

5333 McAuley Dr RM 2010
Ypsilanti, MI 48197-1095

Mailing address

5333 McAuley Dr RM 2010
Ypsilanti, MI 48197-1095
Phone (734) 712-3565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220523000839 MI Practitioner - Clinical Psychologist 7315324860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph Mercy HospitalGroup PAC ID 3779489281, 69 clinicians

Practice addresses (Care Compare)

5301 E Huron River Dr
Ypsilanti, MI 48197-1051
Phone (734) 712-3456

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Mercy Hospital Current Accepting new patients
Nrmi, LLC CurrentSince May 18, 2022 Accepting new patients
St Joseph Mercy Hospital Clinical Neuropsychologist CurrentSince Aug 1, 2022 Accepting new patients
St Joseph Mercy Hospital CurrentSince Aug 1, 2022 Accepting new patients

Locations

313 Congress St
Boston, MA 02210

17187 N Laurel Park Dr
Ste 160
Livonia, MI 48152

20555 Victor Pkwy
Livonia, MI 48152
Phone (734) 343-3925

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

5333 McAuley Dr
Rm 2010
Ypsilanti, MI 48197
Phone (734) 712-3565

5361 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-1300

5570 Whittaker Rd
Ypsilanti, MI 48197
Phone (517) 263-5810

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1922344126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR RM 2010",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971095",
            "telephone_number": "734-712-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR RM 2010",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971095",
            "telephone_number": "734-712-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CAROLYN",
        "middle_name": "A",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-17",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301014729",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.