Active NPI
Angela Nicole Dinkins, PH.D., C.R.C.
- Psychologist
- Columbia, SC
National Provider Identifier
1184858664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY002604
- Practice address
- 4500 Stuart St
Columbia, SC 29207-5700 - Phone
- (803) 751-0357
- NPI assigned
- May 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY002604 | GA | Primary |
Addresses
Primary practice location
4500 Stuart St
Columbia, SC 29207-5700
Mailing address
116 Fallen Leaf Dr
Columbia, SC 29229-9183
Phone (803) 553-5136
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY002604 | GA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242086400000",
"number": "1184858664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 FALLEN LEAF DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292299183",
"telephone_number": "803-553-5136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 STUART ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292075700",
"telephone_number": "803-751-0357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINKINS",
"first_name": "ANGELA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "PH.D., C.R.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-12",
"last_updated": "2009-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY002604",
"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 May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.