Columbia Psychological PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

187 Issued in SC

Legal business name

COLUMBIA PSYCHOLOGICAL PA

Practice address

9890 Windsor Lake Blvd
Columbia, SC 29223-2028

Phone

(803) 736-2199

Fax

(803) 736-2199

NPI assigned

Sep 22, 2008

Organization subpart

No

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

Authorized official

Name

Karen L. Drummond

Title

Owner

Phone

(803) 736-2199

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1124278619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9890 WINDSOR LAKE BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292232028",
            "telephone_number": "803-736-2199",
            "fax_number": "803-736-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9890 WINDSOR LAKE BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292232028",
            "telephone_number": "803-736-2199",
            "fax_number": "803-736-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA PSYCHOLOGICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "DRUMMOND",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-736-2199"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Columbia, SC
• Providers in Columbia, SC by specialty
• Clinical Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.