Active NPI
Angela Geddes, ED.S.
- School Psychologist
- Charleston, SC
National Provider Identifier
1013374776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 545684
- Practice address
- 505 Arlington Dr
Charleston, SC 29414-5006 - Phone
- (843) 606-0136
- NPI assigned
- Jan 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 21189594 | OH | |
| School Psychologist | 103TS0200X | 545684 | SC | Primary |
Addresses
Primary practice location
505 Arlington Dr
Charleston, SC 29414-5006
Mailing address
505 Arlington Dr
Charleston, SC 29414-5006
Phone (843) 606-0136
Other practice location 1
239 Portage St NW
North Canton, OH 44720-2737
Phone (330) 497-5665
Other names 1
- Angela Slabaugh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21189594 | OH | MD | School Psychologist |
| 545684 | SC | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1013374776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 ARLINGTON DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145006",
"telephone_number": "843-606-0136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 ARLINGTON DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145006",
"telephone_number": "843-606-0136"
}
],
"practiceLocations": [
{
"address_1": "239 Portage St NW",
"address_purpose": "LOCATION",
"city": "North Canton",
"state": "OH",
"postal_code": "447202737",
"country_code": "US",
"telephone_number": "330-497-5665",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEDDES",
"first_name": "ANGELA",
"name_prefix": "Mrs.",
"credential": "ED.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-25",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "21189594",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "SC",
"license": "545684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "SLABAUGH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.