Susan Collins, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1399 Issued in SC

Practice address

1409 Devine St
Columbia, SC 29208-3902

Phone

(803) 777-5223

NPI assigned

Aug 20, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1194372656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 620",
            "city": "GILBERT",
            "state": "SC",
            "postal_code": "290540620",
            "telephone_number": "803-530-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 DEVINE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292083902",
            "telephone_number": "803-777-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SUSAN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Nicole Collins
• Marjorie Lynn Collins, LPES
• Olivia Collins
• Robert Joseph Collins III, MD
• Ronald L Collins, MD
• Tiffany Collins, LPC
• Toya Renee Collins, LPC-A
• Tracey Moats Collins, RPH
• Michelle Carolyn Collymore
• Ricardo Colon II, RN

• Clinical Psychologist in Columbia, SC
• Providers in Columbia, SC by specialty
• Clinical Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.