Leroy Scott Jr., MD,MPH

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

4030 Chouteau Ave FL 4
Saint Louis, MO 63110-1754

Phone

(314) 696-2090

NPI assigned

Jan 27, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• D. W. de Vose & Associates, LLC

  • Mental Health Counselor
  • Martinez, GA
  • NPI 1174139133
  NPD

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1972194520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 LARAMIE RD",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302946651",
            "telephone_number": "770-468-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 CHOUTEAU AVE FL 4",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101754",
            "telephone_number": "314-696-2090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4210 Columbia Rd Ste 11B",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "GA",
            "postal_code": "309070443",
            "country_code": "US",
            "telephone_number": "706-364-6576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "LEROY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD,MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-27",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Knecht Scott, MD
• Julie Christine Scott, LMT
• Lakeya Scott
• Lauren Paige Scott, FNP-C
• Lenzy J Scott, PHARMD, RPH
• Mary E Scott, COTA
• Mitchell George Scott, PH.D.
• Nichole Scott
• Nicole Marie Scott, MSW
• Nicole R Scott, CRNA

• Behavior Analyst in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.