Individual provider Active NPI

Anne C Saravo, PHD

  • Clinical Psychologist
  • Saint Helena Island, SC
National Provider Identifier
1104091404
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY1066 Issued in SC
Practice address
1460 Gleasons Landing Dr
St Helena Island, SC 29920-3814
Phone
(843) 838-9998
Fax
(843) 838-9929
NPI assigned
Apr 28, 2008
Last updated
Apr 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY1066 SC
Clinical Psychologist 103TC0700X PSY1066 SC Primary
Clinical Psychologist 103TC0700X PSY003031 GA

Addresses

Primary practice location

1460 Gleasons Landing Dr
St Helena Island, SC 29920-3814

Mailing address

219 Scotts St #351
Beaufort, SC 29902-5554
Phone (843) 263-2961

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY003031GAMDClinical Psychologist
PSY1066SCMDClinical Psychologist
1066SCMDCertified Registered Nurse Anesthetist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1104091404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 SCOTTS ST #351",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025554",
            "telephone_number": "843-263-2961",
            "fax_number": "843-838-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 GLEASONS LANDING DR",
            "city": "ST HELENA ISLAND",
            "state": "SC",
            "postal_code": "299203814",
            "telephone_number": "843-838-9998",
            "fax_number": "843-838-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARAVO",
        "first_name": "ANNE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "SC",
            "license": "PSY1066",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "PSY1066",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helena Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.