Active NPI
Mark Scott, D.O.
- Psychiatry Physician
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 3326
- Practice address
- 65 Professional PL Ste 102103
Bridgeport, WV 26330-0258 - Phone
- (304) 848-5770
- Fax
- (304) 848-0890
- NPI assigned
- Oct 10, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2012025740 | MO | |
| Psychiatry Physician | 2084P0800X | 3326 | WV | Primary |
Addresses
Primary practice location
65 Professional PL Ste 102103
Bridgeport, WV 26330-0258
Mailing address
65 Professional PL Ste 102103
Bridgeport, WV 26330-0258
Phone (304) 848-5770
Other practice location 1
1105 E 32nd St
Joplin, MO 64804-2879
Phone (417) 347-7600
Other practice location 2
11 N Locust St
Buckhannon, WV 26201-4707
Phone (304) 472-1600
Other practice location 3
812 Gorman Ave
Elkins, WV 26241-3181
Phone (304) 637-3948
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992057277 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012025740 | MO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Community Health Center | Current | Accepting new patients | |
| Valley Comprehensive Community Mental Health Center, Inc. | Current | Accepting new patients | |
| Appalachian Community Health Center | Current | Accepting new patients | |
| Valley Comprehensive Community Mental Health Center | Past | Accepting new patients | |
| Appalachian Community Health Center | Past | Accepting new patients |
Locations
27 S Kanawha St
Buckhannon, WV 26201
Phone (304) 472-2022
725 Yokum St
Elkins, WV 26241
Phone (304) 636-3232
501 N Pike St
Grafton, WV 26354
Phone (304) 265-3947
202 Tunnelton St
Kingwood, WV 26537
Phone (304) 329-1059
301 Scott Ave
Morgantown, WV 26508
100 Crosswind Dr
Pleasant Valley, WV 26554
Phone (304) 225-2280
10 Crosswind Dr
Pleasant Valley, WV 26554
Phone (304) 225-2280
230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Elkins, WV
- NPI 1639237837
-
- Mental Health Counselor
- Morgantown, WV
- NPI 1861476350
-
- Community/Behavioral Health Agency
- Parsons, WV
- NPI 1083804611
-
- Community/Behavioral Health Agency
- Buckhannon, WV
- NPI 1346430352
-
- Community/Behavioral Health Agency
- Morgantown, WV
- NPI 1154740660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1992057277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 PROFESSIONAL PL STE 102103",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263300258",
"telephone_number": "304-848-5770",
"fax_number": "304-848-0890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 PROFESSIONAL PL STE 102103",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263300258",
"telephone_number": "304-848-5770",
"fax_number": "304-848-0890"
}
],
"practiceLocations": [
{
"address_1": "1105 E 32nd St",
"address_purpose": "LOCATION",
"city": "Joplin",
"state": "MO",
"postal_code": "648042879",
"country_code": "US",
"telephone_number": "417-347-7600",
"fax_number": "417-347-9810",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11 N Locust St",
"address_purpose": "LOCATION",
"city": "Buckhannon",
"state": "WV",
"postal_code": "262014707",
"country_code": "US",
"telephone_number": "304-472-1600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "812 Gorman Ave",
"address_purpose": "LOCATION",
"city": "Elkins",
"state": "WV",
"postal_code": "262413181",
"country_code": "US",
"telephone_number": "304-637-3948",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOTT",
"first_name": "MARK",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-10",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2012025740",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WV",
"license": "3326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992057277",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.