SCOTT D WYLIE PSY.D. MSCP LLC NPI 1629411319

NPI Information

  • NPI: 1629411319
  • Provider Name: SCOTT D WYLIE, PSY.D., MSCP, LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: MEDICAL PSYCHOLOGY ASSOCIATES
  • Address: 113 CORONADO CT
    SUITE 202
    FORT COLLINS, CO
    ZIP 80525
  • Phone: (888) 666-0974

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NPI Details

SCOTT D WYLIE, PSY.D., MSCP, LLC is a multi-specialty clinic center in Fort Collins, CO. SCOTT D WYLIE, PSY.D., MSCP, LLC NPI is 1629411319. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Medical Psychology Associates.

The provider's business location address is:

113 CORONADO CT
SUITE 202
FORT COLLINS, CO
ZIP 80525-911
Phone: (888) 666-0974
Fax: (970) 223-4433

The provider's authorized official is Scott Devere Wylie .
The authorized official title is Owner and has the following contact phone number (888) 666-0974.

The enumeration date for this NPI number is 4/11/2013 and was last updated on 4/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical Neuropsychologist2962COLORADONo
2103TC0700XPsychologistClinical2962COLORADONo
3103TP0016XPsychologistPrescribing (Medical)2962COLORADONo
4261QM1300XClinic/CenterMulti-Specialty2962COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11629411319MEDICAIDCOLORADO
21669497111OTHERCOLORADOINDIVIDUAL NPI
3135497300MEDICAIDWYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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