Active NPI
Psychological Associates PA
- Counseling Psychologist
- Lancaster, SC
National Provider Identifier
1194746446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 262
- Legal business name
- PSYCHOLOGICAL ASSOCIATES PA
- Practice address
- 114 Williams Street
Connelly BLDG Ste 104
Lancaster, SC 29720 - Phone
- (803) 283-4004
- Fax
- (803) 283-4004
- NPI assigned
- Jul 22, 2006
- 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
- Dr. Joseph Patrick Goldsmith, ED D
- Title
- Psychologist
- Phone
- (803) 283-4004
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 262 | SC | Primary |
Addresses
Primary practice location
114 Williams Street
Connelly BLDG Ste 104
Lancaster, SC 29720
Mailing address
PO Box 669
Lancaster, SC 29721-0669
Phone (803) 283-4004
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP0294 | Medicaid | SC | |
| PS0040 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
114 Williams St
Ste 104
Lancaster, SC 29720
Phone (803) 283-4004
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counseling Psychologist
- Lancaster, SC
- NPI 1538327739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1194746446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 669",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297210669",
"telephone_number": "803-283-4004",
"fax_number": "803-283-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 WILLIAMS STREET",
"address_2": "CONNELLY BLDG STE 104",
"city": "LANCASTER",
"state": "SC",
"postal_code": "29720",
"telephone_number": "803-283-4004",
"fax_number": "803-283-4004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHOLOGICAL ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GOLDSMITH",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "803-283-4004",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ED D"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "SC",
"license": "262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP0294",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PS0040",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.