IndividualActive
Scott Deatherage, PHD
NPI 1134679459 · Psychologist · London, OH
Scott Deatherage, PHD is a Psychologist provider in London, OH (NPI 1134679459).
Provider details
- NPI number
- 1134679459
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- P.07981 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Mailing address
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Additional practice locations (1)
- 1100 Wilford Hall Loop Bldg 4554Jbsa Lackland, TX 78236-5638Phone: (210) 292-4271
Registry dates
- Enumerated
- 2016-10-11
- Last updated
- 2021-06-30
- Certified
- 2021-06-09
Frequently asked questions
- What is Scott Deatherage's NPI number?
- Scott Deatherage's National Provider Identifier (NPI) is 1134679459, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Scott Deatherage's specialty?
- Scott Deatherage is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Scott Deatherage located?
- Scott Deatherage's practice location on file with NPPES is 1580 Oh-56, London, OH 43140.
- What is Scott Deatherage's phone number?
- The practice phone number listed in the NPPES registry for Scott Deatherage is (740) 852-2454.
- Is Scott Deatherage's NPI active?
- Yes — Scott Deatherage's NPI (1134679459) is active in the NPPES registry as of the last update on 2021-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.