Dr. Scott Michael McKernan, PhD
Psychologist, Clinical in Brooklyn, NY. Individual provider (NPI-1).
NPI number1104723808
StatusActive
Last updated in NPPESOct 26, 2026
Details
- NPI
- 1104723808
- Entity type
- Individual (NPI-1)
- Name
- Dr. Scott Michael McKernan
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2026
- Certification date
- Oct 25, 2026
- Last updated
- Oct 26, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | P146389 | NY | Yes |
Practice location
48 Morgan Ave Apt 3lBrooklyn, NY 11237-1653
Phone 949-705-7517
Mailing address
48 Morgan Ave Apt 3lBrooklyn, NY 11237-1653
Phone 949-705-7517
Other practice locations
1399 Park Ave
New York, NY 10029-4567
New York, NY 10029-4567
Phone 949-705-7517
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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