Active NPIIndividual provider

Scott W Edington, PHD

Psychologist in Storrs, Connecticut

NPI Number1720067374
Practice location
Maple Ridge Clinical Services, 1066 Storrs Road, Storrs, CT 06268
Fax
860-429-2949
Last updated
December 19, 2019

Scott W. Edington is a Psychologist based in Storrs, CT. Scott W. Edington practices in Storrs, CT and has the professional credentials of PHD. The NPI Number for Scott W. Edington is 1720067374 and holds a License No. 001531 (CT). The current practice location address for Scott W. Edington is Maple Ridge Clinical Services, 1066 Storrs Road, Storrs, CT 06268 and can be reached out via phone at 860-477-1515 and via fax at 860-429-2949.

Provider Profile Details

NPI Number
1720067374
Provider Name
Scott W. Edington
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
Maple Ridge Clinical Services, 1066 Storrs Road, Storrs, CT 06268
Phone Number
860-477-1515
Fax Number
860-429-2949
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Provider Enumeration Date
January 12, 2006
Last Update Date
December 19, 2019
Certification Date
December 19, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
Maple Ridge Clinical Services, 1066 Storrs Road
Storrs, CT 06268
City
Storrs
Zip
06268
Phone Number
860-477-1515
Fax Number
860-429-2949
Storrs, CT 06268Get directions →

Provider Business Mailing Address Details

Address
414 Woodland RD
Storrs Mansfield, CT 06268-1423
City
Storrs Mansfield
State
CT
Zip
06268-1423
Phone Number
860-477-1515
Fax Number
860-429-2949

License Information

License Number
001531
License State
CT
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Scott W Edington, PHD?

The NPI number of Scott W Edington, PHD is 1720067374. It was assigned on January 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Scott W Edington, PHD?

Scott W Edington, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in CT under license number 001531.

Where does Scott W Edington, PHD practice?

The practice location is Maple Ridge Clinical Services, 1066 Storrs Road, Storrs, CT 06268. The office can be reached at 860-477-1515 (phone) or 860-429-2949 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720067374 directly on the NPPES registry website.

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