Provider Demographics
NPI:1881011815
Name:JOSEPH R SCOTTI PHD
Entity Type:Organization
Organization Name:JOSEPH R SCOTTI PHD
Other - Org Name:WHOLE FAMILIES / WHOLE VETERANS, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST / BCBA-D
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:SCOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:304-906-9087
Mailing Address - Street 1:PO BOX 197
Mailing Address - Street 2:WHOLE FAMILIES / WHOLE VETERANS, PLLC
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26507-0197
Mailing Address - Country:US
Mailing Address - Phone:304-906-9087
Mailing Address - Fax:304-212-7379
Practice Address - Street 1:235 HIGH ST STE 716
Practice Address - Street 2:WHOLE FAMILIES / WHOLE VETERANS, PLLC
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-5448
Practice Address - Country:US
Practice Address - Phone:304-906-9087
Practice Address - Fax:304-212-7379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-27
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV532103K00000X, 103TB0200X, 103TC0700X, 103TC2200X, 103TM1800X
PAPS004475L103K00000X, 103TB0200X, 103TC0700X, 103TC2200X, 103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Single Specialty