Organization Active NPI

Roots & Wings Psychological Services, LLC

  • School Psychologist
  • Columbia, SC
National Provider Identifier
1154217537
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Legal business name
ROOTS & WINGS PSYCHOLOGICAL SERVICES, LLC
Practice address
710 Wildlife LN
Columbia, SC 29209-3464
Phone
(803) 250-5579
NPI assigned
Jun 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Dr. Tiffany Annette Rich, PHDNPI 1568277523
Title
Licensed Psychoeducational Speciali
Phone
(803) 767-4188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TS0200X Primary

Addresses

Primary practice location

710 Wildlife LN
Columbia, SC 29209-3464

Mailing address

961 Roberts Branch Pkwy Ste 106 #102
Columbia, SC 29203-9150
Phone (803) 767-4188

Other practice location 1

254 Meadow Springs Dr
Columbia, SC 29229-6891
Phone (803) 767-4188

National Provider Directory

National Provider Directory

Locations

961 Roberts Branch Pkwy
Ste 102
Columbia, SC 29203

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1154217537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 ROBERTS BRANCH PKWY STE 106 #102",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039150",
            "telephone_number": "803-767-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 WILDLIFE LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292093464",
            "telephone_number": "803-250-5579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254 Meadow Springs Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292296891",
            "country_code": "US",
            "telephone_number": "803-767-4188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROOTS & WINGS PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "LICENSED PSYCHOEDUCATIONAL SPECIALI",
        "authorized_official_telephone_number": "803-767-4188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "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 Jun 13, 2025; 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.