SCOTT DAVID STRUCK (FLP) – Psychologist, NPI 1861458283

SCOTT DAVID STRUCK (FLP) is a healthcare provider. based in Lansing, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials FLP. They hold a License No. 6301008963 (MI). The NPI Number for SCOTT DAVID STRUCK (FLP) is 1861458283

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT DAVID STRUCK (FLP)
NPI
1861458283
Phone
(517) 346-8410
Address
812 E JOLLY RD
Enumeration Date
25 April 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5175435100
Graduation Year
1999 (27 years ago)
PAC ID
6204922131
Group Practice PAC ID
2668376732
Professional Enrollment ID
I20071023000532
Address ID
MI488131551CH228XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

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Provider Addresses for SCOTT DAVID STRUCK (FLP)

  • 812, East Jolly Road, Lansing, Ingham County, Michigan, 48910, United States

    STE 210

    LANSING, MI 489106818

    Phone: (517) 346-8410

    Fax: (517) 346-8291

    Type: Mailing

  • 551, Courthouse Drive, Charlotte, Eaton County, Michigan, 48813, United States

    CHARLOTTE, MI 488131054

    Phone: (517) 543-5100

    Fax: (517) 346-8291

    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: 2007-10-23

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
I20071023000532IClinical PsychologistMITBD

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 48910)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668376732View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI
P S Y C H I A T R YMI
Clinical Social WorkerMI
Occupational Therapist In Private PracticeMI
P S Y C H I A T R YMI
P S Y C H I A T R YMI
Clinical PsychologistMI
-MI

Reviews

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Frequently asked questions

What federal number belongs to SCOTT DAVID STRUCK (FLP)?
The federal identifier for SCOTT DAVID STRUCK (FLP) is NPI 1861458283.
Does this profile mean SCOTT DAVID STRUCK (FLP) is currently active?
Yes — SCOTT DAVID STRUCK (FLP) appears active in the national provider directory.
What kind of provider is SCOTT DAVID STRUCK (FLP)?
The page reflects Psychologist for SCOTT DAVID STRUCK (FLP). Clinical services aligned with this taxonomy classification.
Does SCOTT DAVID STRUCK (FLP) practice in Michigan?
You will see Lansing, Michigan on file for SCOTT DAVID STRUCK (FLP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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