Individual provider · Type 1 NPI

Randy Scott

Peer Specialist · Brooklyn, NY

NPI number 1912865569 Active

Practice location

1149-55 Myrtle Avenue, Ground Floor
Brooklyn, NY 11206

Call (718) 574-1400 Map

Mailing address

15608 79th St
Howard Beach, NY 11414-2528

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1912865569

Randy Scott's National Provider Identifier is 1912865569, issued on Jan 13, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Brooklyn, NY. The record was last updated on Jan 13, 2026.