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DR. SCOTT DEVERE WYLIE PSY.D., MSCP
NPI 1669497111
Clinical Neuropsychologist in Fort Collins, CO

Active since July 13, 2006PECOS Enrolled
113 CORONADO CT, SUITE 202, FORT COLLINS, CO 80525(888) 666-0974(970) 223-4433 Get Directions Write a Review

NPPES record last updated: April 7, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Scott Devere Wylie Psy.d., Mscp NPPES

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

DR. SCOTT DEVERE WYLIE PSY.D., MSCP (NPI 1669497111) is an individual clinical neuropsychologist in Fort Collins, Colorado, licensed in Colorado (2962) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669497111
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. SCOTT DEVERE WYLIECredential: PSY.D., MSCP
Location Address113 CORONADO CT, SUITE 202Fort Collins, CO 80525-4911
Mailing Address113 Coronado Ct, Ste 202Fort Collins, CO 80525-4911 · (888) 666-0974 · Fax (970) 223-4433
Phone(888) 666-0974
Fax(970) 223-4433
Sole ProprietorNo
Enumeration DateJuly 13, 2006
Last NPPES UpdateApril 7, 2018
✔ NPI 1669497111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Licenses✔ Licensed in CO · 2962✔ Licensed in WY · 478
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY18408 (CA), 478 (WY), 2962 (CO)
Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License 2962 (CO)
Also ListedPsychologist · HealthTaxonomy 103TH0004X · License 2962 (CO)
113 CORONADO CT, Fort Collins, CO 80525
Open in Google Maps ↗

Other Identifiers 4

Other1629411319CO · Type 2 Npi
Other462318597WY · Tax Id
Medicaid128459200WY
Medicaid1669497111CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Scott Devere Wylie Psy.d., Mscp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Scott Wylie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Scott D Wylie, Psy.D., Mscp, LLC
Same address
Multi-Specialty
113 CORONADO CT, SUITE 202
Fort Collins, CO 80525
  • Reassigned Medicare billing, Colorado enrollment
NPI 1629411319 (888) 666-0974

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

SCOTT D WYLIE, PSY.D., MSCP, LLC
Clinic/Center (Multi-Specialty)
113 CORONADO CT, SUITE 202
FORT COLLINS, CO 80525
Larimer County (888) 666-0974

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 Scott Wylie's NPI number?

The NPI number for Scott Wylie is 1669497111. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Scott Wylie located?

Scott Wylie practices at 113 Coronado Ct Suite 202, Fort Collins, CO 80525. The listed phone number is (888) 666-0974.

What is Scott Wylie's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Scott Wylie enrolled in Medicare?

Yes. Scott Wylie is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Scott Wylie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Wylie reassigns Medicare benefits to Scott D Wylie, Psy.D., Mscp, LLC (Fort Collins, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Wylie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Scott Wylie was last updated on April 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.