Theresa Scott, Psy.D., LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

04444 Issued in MD

Legal business name

THERESA SCOTT, PSY.D., LLC

Practice address

22 W Padonia Rd
Suite a-203
Lutherville, MD 21093-2226

Phone

(717) 965-1952

NPI assigned

Jun 11, 2015

Last updated

Jun 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Theresa Scott, PSY.D.NPI 1346355740

Title

Psychologist

Phone

(717) 965-1952

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Theresa Scott PSYD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Theresa Scott, Psy.D., LLC

  • Psychologist
  • Hunt Valley, MD
  • NPI 1457947129
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theresa Marie Scott, PSY.D.

  • Clinical Psychologist
  • Sparks, MD
  • NPI 1346355740
  NPD Authorized official

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1942681440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 DEVONSHIRE DR",
            "city": "SHREWSBURY",
            "state": "PA",
            "postal_code": "173611131",
            "telephone_number": "717-965-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W PADONIA RD",
            "address_2": "SUITE A-203",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210932226",
            "telephone_number": "717-965-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA SCOTT, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "717-965-1952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "04444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101518322",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Johns Hopkins Hospital
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• The Johns Hopkins Hospital
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• The Neuroscience Team Inc.
• Debra Thissell, LCSW-C
• Kasey Thomas
• Charese Thompson
• Three21 Inc.
• Stuart Allen Tiegel, MSW

• Psychologist in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.