Organization Active NPI

Dan H Allen PHD PA

  • Clinical Psychologist
  • Florence, SC
National Provider Identifier
1174660062
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
535 Issued in SC
Legal business name
DAN H ALLEN PHD PA
Practice address
315 W Pine St
Florence, SC 29501-4726
Phone
(843) 669-9515
Fax
(843) 669-9514
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Dan Harrison Allen, PHD
Title
Owner
Phone
(843) 669-9515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 535 SC Primary

Addresses

Primary practice location

315 W Pine St
Florence, SC 29501-4726

Mailing address

PO Box 12518
Florence, SC 29504-2518
Phone (843) 669-9515

Other identifiers 1

IdentifierTypeStateIssuer
PSO160MedicaidSC

National Provider Directory

National Provider Directory

Locations

315 W Pine St
Florence, SC 29501
Phone (843) 669-9515

1801 W Evans St
Ste 100
Florence, SC 29501
Phone (843) 669-9515

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1174660062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12518",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295042518",
            "telephone_number": "843-669-9515",
            "fax_number": "843-669-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W PINE ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014726",
            "telephone_number": "843-669-9515",
            "fax_number": "843-669-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN H ALLEN PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-669-9515",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSO160",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.