Provider Demographics
NPI:1336236173
Name:ANDREWS, SCOTT NELSON (PHD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:NELSON
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 ADAMS ST.
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420
Mailing Address - Country:US
Mailing Address - Phone:978-342-4344
Mailing Address - Fax:978-342-2806
Practice Address - Street 1:32 ADAMS ST.
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420
Practice Address - Country:US
Practice Address - Phone:978-342-4344
Practice Address - Fax:978-342-2806
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4663103G00000X, 103TB0200X, 103TC2200X, 103TF0000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW04446OtherBLUE CROSS & BLUE SHIELD
MA014641OtherVALUE OPTIONS
MA763506OtherTUFTS
MA043381331-01OtherPACIFICARE
MA0525839Medicaid
MA1037540OtherFALLON HEALTH PLAN
MAS030353-A002OtherCHAMPUS
MA014641OtherVALUE OPTIONS