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MR. SCOTT WAYNE MEDEIROS
NPI 1801510920
Counselor - Mental Health in Wellesley, MA

Active since October 03, 2022PECOS Enrolled
11 RIVER ST, WELLESLEY, MA 02481(781) 431-1177 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Scott Wayne Medeiros NPPES

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

MR. SCOTT WAYNE MEDEIROS (NPI 1801510920) is an individual mental health provider in Wellesley, Massachusetts, licensed in Massachusetts (10005347) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801510920
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. SCOTT WAYNE MEDEIROS
Location Address11 RIVER STWellesley, MA 02481-2017
Mailing Address14 Kansas AveSomerset, MA 02726-3607
Phone(781) 431-1177
Sole ProprietorNo
Enumeration DateOctober 3, 2022
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1801510920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MA · 10005347
11 RIVER ST, Wellesley, MA 02481
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Scott Wayne Medeiros 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.

Other Providers at the Same Location NPPES 20

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

MR. TRACY BARNES MSW LICSW
Social Worker (Clinical)
11 RIVER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-1177
MS. TANYA CHERKERZIAN LICSW
Social Worker (Clinical)
11 RIVER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-1177
DR. SUSAN EDITH RUSKIN M.D.
Psychiatry & Neurology (Psychiatry)
11 RIVER ST
WELLESLEY, MA 02481
Norfolk County (781) 647-0496
LOIS FIRONZE ASHCROFT RN CNS
Counselor (Mental Health)
11 RIVER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-1177
KATHERINE JACOBS EYRE MSW LICSW
Social Worker (Clinical)
11 RIVER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-1177
LAURA SUNDERLAND KINNEY MSW LICSW
Social Worker (Clinical)
11 RIVER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-1117
MARK F GEER
Psychologist
11 RIVER ST, COLONY CARE BEHAVIORAL HEALTH
WELLESLEY, MA 02481
Norfolk County (781) 431-1177
CATHY SPEAR
Social Worker (Clinical)
11 RIVER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-1177

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 Medeiros's NPI number?

The NPI number for Scott Medeiros is 1801510920. It was assigned to this individual provider in the NPPES registry on October 3, 2022.

Where is Scott Medeiros located?

Scott Medeiros practices at 11 River St, Wellesley, MA 02481. The listed phone number is (781) 431-1177.

What is Scott Medeiros's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Scott Medeiros enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Scott Medeiros was last updated on June 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.