Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Scot Liepack, PHD

Individual provider Psychologist · NPI 1912924853

Mr. Scot Liepack, PHD is a Clinical Psychologist in Phoenix, Arizona. Qualified in 1998, 28 years ago. Practices with Presbyterian Healthcare Services, a 1,375-clinician group and accepts Medicare assignment. Licensed in Arizona, Hawaii and New Mexico.

Years since qualifying
28
Licensed in
AZ, HI, NM
In the registry since
2006
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

6601 W Thomas Rd
Phoenix, AZ 85033-5700
Phone: (602) 243-7277
Fax: (623) 247-9742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY1543 (NM)
Psychologist Taxonomy 103T00000X · Licence PSY722 (HI)
Psychologist Taxonomy 103T00000X · Licence 4061 (AZ)

Record details

NPI number1912924853
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 16, 2006
Last updated in NPPESJanuary 29, 2019
Mailing addressPo Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Presbyterian Healthcare Services — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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