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MR. JACK SCOTT RADT
NPI 1235799792
Counselor - Addiction (Substance Use Disorder) in Fremont, CA

Active since June 17, 2019
37437 GLENMOOR DR, FREMONT, CA 94536(510) 713-3200(510) 713-0684 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jack Scott Radt NPPES

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

MR. JACK SCOTT RADT (NPI 1235799792) is an individual addiction (substance use disorder) provider in Fremont, California, licensed in California (R1327711118) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1235799792
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JACK SCOTTCredential: RADT
Location Address37437 GLENMOOR DRFremont, CA 94536-5731
Mailing Address4510 Peralta Blvd Ste 1Fremont, CA 94536-5755 · (510) 713-3202 · Fax (510) 713-0684
Phone(510) 713-3200
Fax(510) 713-0684
Sole ProprietorNo
Enumeration DateJune 17, 2019
✔ NPI 1235799792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1327711118
37437 GLENMOOR DR, Fremont, CA 94536
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MATTHEW VIERRA SUDRC
Counselor (Addiction (Substance Use Disorder))
37437 GLENMOOR DR
FREMONT, CA 94536
Alameda County (510) 713-3202
GERALD BEAT
Counselor (Addiction (Substance Use Disorder))
37437 GLENMOOR DR
FREMONT, CA 94536
Alameda County (510) 713-3200
MR. CERJIO ACEVES SUDRC
Counselor (Addiction (Substance Use Disorder))
37437 GLENMOOR DR
FREMONT, CA 94536
Alameda County (510) 713-3200
MR. JAMES PATRICK BURGOS
Counselor (Addiction (Substance Use Disorder))
37437 GLENMOOR DR
FREMONT, CA 94536
Alameda County (510) 713-3200
MANESSA BOYKO
Counselor (Addiction (Substance Use Disorder))
37437 GLENMOOR DR
FREMONT, CA 94536
Alameda County (510) 713-3200
MR. LONNIE BREWER RADT
Counselor (Addiction (Substance Use Disorder))
37437 GLENMOOR DR
FREMONT, CA 94536
Alameda County (510) 713-3200
MS. KELCEE WEAVER CADC-II
Counselor (Addiction (Substance Use Disorder))
37437 GLENMOOR DR
FREMONT, CA 94536
Alameda County (510) 713-3200
MR. RAYMOND EDWARD DOUGLAS SUDCC III
Counselor (Addiction (Substance Use Disorder))
37437 GLENMOOR DR
FREMONT, CA 94536
Alameda County (510) 713-3200

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 Jack Scott's NPI number?

The NPI number for Jack Scott is 1235799792. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Jack Scott located?

Jack Scott practices at 37437 Glenmoor Dr, Fremont, CA 94536. The listed phone number is (510) 713-3200.

What is Jack 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 Jack Scott was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.