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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SCOTT MACINNIS

Deactivated

SCOTT MACINNIS is a Clinical Psychologist healthcare provider located in ROYAL OAK, Michigan. NPI 1790148815 is deactivated in the NPPES registry. Verify at CMS.

Clinical Psychologist · ROYAL OAK, MI

This NPI has been deactivated. The record was deactivated on October 7, 2018. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1790148815
Provider Type
Individual
Gender
Male
NPI Issued
Apr 5, 2016 (2.5068493150685 yrs)
Last Updated
Sep 14, 2021
Deactivated
Oct 7, 2018
License
6361007539 (MI)

Practice Information

Address
905 S CENTER ST
ROYAL OAK, MI, 480673230
Browse MI providers · Browse ZIP 48067
Phone
3134779403
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in ROYAL OAK, MI

Name Credential NPI
JOHN FRANCIS O'LEARY PHD 1942292354
DR. CHRISTINE CLAIRE CANTRELL PH.D. 1134170376
MRS. ELIZABETH ANN TOPLYN PH.D. 1750329868
DR. JEFFRY BRUCE HILLENBERG PH.D. 1033158324
DR. GREGORY MICHAEL KOTLARZ PH.D. 1134160732
DR. JONATHAN PAUL BEARD PHD 1417998972
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.