Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134679459 Individual Practitioner Male Practitioner

Dr. Scott Deatherage , PhD

Psychologist • London, OH

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Scott Deatherage, PhD is a registered healthcare professional specializing in Psychologist in London, OH. Official NPI practice address is registered at 1580 OH-56.

Practice Location & Contact Primary Location

Practice Address

1580 Oh-56

London, OH 43140

Telephone 7408522454
Associated Practice Facility / Clinic
🏢 State Of Ohio Facility NPI 1902218779

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in London, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
3 Specialists

Practicing in London, OH (1639 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-09
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License OH P.07981

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Secondary Practice Locations

1100 Wilford Hall Loop Bldg 4554

Jbsa Lackland, TX 782365638

Phone: 2102924271

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Veronica Bellamy , LICDC

Counselor - Addiction (Substance Use Disorder)

NPI 1437651346
Dr. Barbara Woods , MD

Internal Medicine

NPI 1710264569

Doctor of Medicine (M.D.)

Willie White , LICDC-CS

Substance Abuse Rehabilitation Facility

NPI 1730576091

LICDCCS

Trina Bottorff , NP-C

Nurse Practitioner - Family

NPI 1770893489

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 30, 2021

Registered at 1580 OH-56, LONDON, OH 43140 (Tel: 7408522454)

📍
Updated Business Mailing Address June 30, 2021

Registered at 1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 782365638 (Tel: 2102924271)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2021

Psychologist (License #P.07981 in OH)

NPI Profile Active October 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2016

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 7026533880)

📍
Updated Business Mailing Address October 11, 2016

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 7026533880)

👤
Provider Name / Credentials Updated October 11, 2016

Recorded as SCOTT DEATHERAGE, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2016

Psychologist

🟢
Initial NPI Registration & Enumeration October 11, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134679459
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2016
Last Update: June 30, 2021
Sole Proprietor: No

Mailing Address

1100 Wilford Hall Loop Bldg 4554

Jbsa Lackland, TX 782365638

Phone: 2102924271

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.