Provider Demographics
NPI:1487856035
Name:SCOTT, JAMES MICHAEL (MA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:MICHAEL
Last Name:SCOTT
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 LEBANON PIKE STE 100
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-2571
Mailing Address - Country:US
Mailing Address - Phone:615-491-4002
Mailing Address - Fax:800-507-8501
Practice Address - Street 1:2900 LEBANON PIKE STE 100
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-2571
Practice Address - Country:US
Practice Address - Phone:615-491-4002
Practice Address - Fax:800-507-8501
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPE0000000797103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical