Active NPI
Dan H Allen PHD PA
- Clinical Psychologist
- Florence, SC
National Provider Identifier
1174660062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 535
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSO160 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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.