Cheryl Lynn Scott-Richard, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

019770 Issued in NY

Practice address

423 E Main St
Suite 3
Endicott, NY 13760-6940

Phone

(607) 754-1101

Fax

(607) 756-1107

NPI assigned

Oct 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Cheryl Lynn Scott Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Davenport Holistic Healing and Wellness LLC

  • Clinical Social Worker
  • Spencer, NY
  • NPI 1699590307
  NPD (past)
• Jerry Duvinsky PHD Licensed Psychologist PC

  • Clinical Psychologist
  • Endicott, NY
  • NPI 1043684681
  NPD (past)

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1942499389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 E MAIN ST",
            "address_2": "SUITE 3",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137606940",
            "telephone_number": "607-754-1101",
            "fax_number": "607-756-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 E MAIN ST",
            "address_2": "SUITE 3",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137606940",
            "telephone_number": "607-754-1101",
            "fax_number": "607-756-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT-RICHARD",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019770",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006814",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "SCOTT",
            "middle_name": "LYNN",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anthony Joseph Sanzone, DPM
• Sasha D Fassett Licensed Clinical Social Worker PC
• Kalli Scepaniak, MS CCC-SLP
• Stuart D Schiff, DDS
• Carol A Schneider, LMT
• Stephen Shaffer, P.T.
• Marge E Shaller, RPA-C
• Joshua Signs, A.T.C.
• Mario G Silvestri, DPM
• Daisy Singh

• Clinical Psychologist in Endicott, NY
• Providers in Endicott, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.

Verify at the official NPI Registry.