SCOTT J DAVIDSON (EDD) – Psychologist, NPI 1457386823

SCOTT J DAVIDSON (EDD) is a healthcare provider. based in Brunswick, Maine. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials EDD. They hold a License No. PSYCH000501 (ME). The NPI Number for SCOTT J DAVIDSON (EDD) is 1457386823

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT J DAVIDSON (EDD)
NPI
1457386823
Phone
(207) 751-5429
Address
19 Columbia Ave
Enumeration Date
12 July 2006
Last Update Date
15 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2077515429
Graduation Year
1989 (37 years ago)
PAC ID
6901855949
Professional Enrollment ID
I20050118000400
Address ID
ME040112403BR9XXXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

173 CLINICAL PSYCHOLOGIST in ME

Provider Addresses for SCOTT J DAVIDSON (EDD)

  • 19 Columbia Ave

    Brunswick, ME 040113041

    Phone: (207) 751-5429

    Type: Location

  • 169 South Rd

    Readfield, ME 043553340

    Phone: (207) 751-5429

    Type: Location

  • PO BOX 871

    BRUNSWICK, ME 040110871

    Phone: (207) 751-5429

    Type: Mailing

  • 9, Everett Street, Brunswick, Cumberland County, Maine, 04011, United States

    BRUNSWICK, ME 040112403

    Phone: (207) 751-5429

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050118000400IClinical PsychologistMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04011)

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Reviews

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Frequently asked questions

What is the registry number for SCOTT J DAVIDSON (EDD)?
The registry entry for SCOTT J DAVIDSON (EDD) shows NPI 1457386823.
Is SCOTT J DAVIDSON (EDD)'s NPI status active today?
Active status means SCOTT J DAVIDSON (EDD)'s NPI record is not deactivated in the public file.
What type of care does SCOTT J DAVIDSON (EDD) provide?
SCOTT J DAVIDSON (EDD)'s profile centers on Psychologist. Clinical services aligned with this taxonomy classification.
Can patients visit SCOTT J DAVIDSON (EDD) in Brunswick, Maine?
For routing, start with Brunswick, Maine for SCOTT J DAVIDSON (EDD), then verify phone and hours locally.
Can I export SCOTT J DAVIDSON (EDD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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