Individual provider Active NPI

Patrick Steele

  • Clinical Psychologist
  • Columbia, SC
National Provider Identifier
1124574850
Registry record updated Jun 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1412 Issued in SC
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
1412SCMDCounseling 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.

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.

Verify at the official NPI Registry.