Active NPI
Marcia Lynn Lewis, PHD
- Clinical Psychologist
- Columbia, SC
National Provider Identifier
1104994706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1113
- Practice address
- 223 Stoneridge Dr
Palmetto Health Baptist Pain and Orthopaedics
Columbia, SC 29210-8049 - Phone
- (803) 296-7246
- Fax
- (803) 296-2400
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1113 | SC | Primary |
Addresses
Primary practice location
223 Stoneridge Dr
Palmetto Health Baptist Pain and Orthopaedics
Columbia, SC 29210-8049
Mailing address
223 Stoneridge Dr
Columbia, SC 29210-8049
Phone (803) 296-2431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1129 Macklind Ave
Saint Louis, MO 63110-1440
Phone 3145340200415
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4761 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Psychological Services, Inc. | Clinical | Past | Accepting new patients |
| Rehabilitation Institute of Virginia Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Saint Louis, MO
- NPI 1487732335
-
dba Riverside Rehabilitation Institute
- Rehabilitation Hospital
- Newport News, VA
- NPI 1992814826
-
dba Senior Psychological Associates
- Clinical Psychologist
- Uniontown, OH
- NPI 1720174956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250640000000",
"number": "1104994706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 STONERIDGE DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292108049",
"telephone_number": "803-296-2431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 STONERIDGE DR",
"address_2": "PALMETTO HEALTH BAPTIST PAIN AND ORTHOPAEDICS",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292108049",
"telephone_number": "803-296-7246",
"fax_number": "803-296-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MARCIA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2009-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SC",
"license": "1113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.