Chacy Agnello, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1639 Issued in SC

Practice address

11 N Irvine St Ste 6
Greenville, SC 29601-4902

Phone

(864) 671-1663

NPI assigned

Sep 30, 2020

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2020.

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1124635313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 STONE AVE APT I",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296401353",
            "telephone_number": "805-712-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N IRVINE ST STE 6",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014902",
            "telephone_number": "864-671-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGNELLO",
        "first_name": "CHACY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Afshar, D.C.
• Aft Homecare LLC
• Agape Transformation Counseling, LLC
• Agapi Behavioral Consultants
• Valerie Agee
• Mary Ann Buchanan Agostino, NP
• Dana Lynn Agre, MS, CF-SLP
• Nicole Alexandra Agresti, PT, DPT
• Ariadna Aguero-Roman
• Andrea Aguilar, RBT

• All providers in Greenville, SC
• Clinical Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.