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

Trevor James Harry Scudamore, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922538990

Trevor James Harry Scudamore, MD is a Psychiatry in Watertown, New York. Qualified in 2015, 11 years ago. Practices with Pocatello Health Services LLC, a 178-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

830 Washington St
Watertown, NY 13601-4034
Phone: (315) 786-4955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 750 E Adams St, Syracuse, NY 13210-2306 — (315) 464-5540

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 309450 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1922538990
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 13, 2017
Last updated in NPPESJune 15, 2021
Certification dateJune 15, 2021

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Pocatello Health Services Llc — 178 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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