Active NPI
Amy Nicole Scott, PH.D. NCSP
- Clinical Psychologist
- Pinole, CA
National Provider Identifier
1942342274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 24824
- Practice address
- 668 Quinan St Ste 200B
Pinole, CA 94564-1621 - Phone
- (480) 363-4633
- NPI assigned
- Feb 13, 2007
- Last updated
- Mar 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3949 | AZ | |
| Clinical Psychologist | 103TC0700X | 24824 | CA | Primary |
| School Psychologist | 103TS0200X | AZ |
Addresses
Primary practice location
668 Quinan St Ste 200B
Pinole, CA 94564-1621
Mailing address
668 Quinan St Ste 200B
Pinole, CA 94564-1621
Phone (480) 363-4633
Other practice location 1
140 S Gilbert Rd
Gilbert, AZ 85296-1016
Phone (480) 775-2585
Other practice location 2
3441 Kensington Way
Stockton, CA 95211-1016
Phone (480) 363-4633
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24824 | CA | MD | Clinical Psychologist |
| 3949 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1942342274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "668 QUINAN ST STE 200B",
"city": "PINOLE",
"state": "CA",
"postal_code": "945641621",
"telephone_number": "480-363-4633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "668 QUINAN ST STE 200B",
"city": "PINOLE",
"state": "CA",
"postal_code": "945641621",
"telephone_number": "480-363-4633"
}
],
"practiceLocations": [
{
"address_1": "140 S Gilbert Rd",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852961016",
"country_code": "US",
"telephone_number": "480-775-2585",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3441 Kensington Way",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952111016",
"country_code": "US",
"telephone_number": "480-363-4633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOTT",
"first_name": "AMY",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "PH.D. NCSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "3949",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "24824",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinole, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.