Active NPI
Patrick Steele
- Clinical Psychologist
- Columbia, SC
National Provider Identifier
1124574850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1412
- Practice address
- 1531 Laurel St
Columbia, SC 29201 - Phone
- (803) 764-1010
- Fax
- (803) 764-0193
- NPI assigned
- Sep 1, 2016
- Last updated
- Jun 29, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 1412 | SC | |
| Clinical Psychologist | 103TC0700X | 1412 | SC | Primary |
Addresses
Primary practice location
1531 Laurel St
Columbia, SC 29201
Mailing address
1531 Laurel St
Columbia, SC 29201-2622
Phone (803) 764-1010
Other practice location 1
1415 Blanding St
Columbia, SC 29201-2922
Phone (803) 779-7500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | drpatricksteele@gmail.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1412 | SC | MD | Counseling Psychologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Columbia, SC
- NPI 1609386838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561766400000",
"number": "1124574850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1531 LAUREL ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012622",
"telephone_number": "803-764-1010",
"fax_number": "803-764-0193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 LAUREL ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29201",
"telephone_number": "803-764-1010",
"fax_number": "803-764-0193"
}
],
"practiceLocations": [
{
"address_1": "1415 Blanding St",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292012922",
"country_code": "US",
"telephone_number": "803-779-7500",
"fax_number": "803-779-7522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEELE",
"first_name": "PATRICK",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-01",
"last_updated": "2019-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "SC",
"license": "1412",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SC",
"license": "1412",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "drpatricksteele@gmail.com",
"affiliation": "N",
"address_1": "1531 Laurel St",
"city": "Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "292012622",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 29, 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.