MRS. KIM SCOTT ED.D
NPI 1053639583
Counselor - Addiction (Substance Use Disorder) in Fontana, CA

Active since May 07, 2010
15643 DOBBS PEAK LN, FONTANA, CA 92336(951) 536-7845 Get Directions Write a Review

NPPES record last updated: May 7, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kim Scott Ed.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIM SCOTT ED.D (NPI 1053639583) is an individual addiction (substance use disorder) provider in Fontana, California, licensed in California (1538-061511P) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1053639583
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. KIM SCOTTCredential: ED.D
Location Address15643 DOBBS PEAK LNFontana, CA 92336-4560
Mailing Address15643 Dobbs Peak LnFontana, CA 92336-4560 · (951) 536-7845
Sole ProprietorYes
Enumeration DateMay 7, 2010
NPI 1053639583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · 1538-061511P
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 070104802 (CA)
15643 DOBBS PEAK LN, Fontana, CA 92336

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Scott's NPI number?

The NPI number for Kim Scott is 1053639583. It was assigned to this individual provider in the NPPES registry on May 7, 2010.

Where is Kim Scott located?

Kim Scott practices at 15643 Dobbs Peak Ln, Fontana, CA 92336. The listed phone number is (951) 536-7845.

What is Kim Scott's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kim Scott was last updated on May 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.