Active NPI
Sarah Coolidge, EDS, NCSP
- School Psychologist
- Charleston, SC
National Provider Identifier
1205273232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 727374
- Practice address
- 75 Calhoun St
Charleston, SC 29401-3538 - Phone
- (843) 852-6524
- NPI assigned
- May 31, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 261874 | SC | |
| School Psychologist | 103TS0200X | 727374 | WI | Primary |
Addresses
Primary practice location
75 Calhoun St
Charleston, SC 29401-3538
Mailing address
75 Calhoun St
Charleston, SC 29401-3538
Phone (843) 852-6524
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261874 | SC | MD | School Psychologist |
| 727374 | WI | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369958400000",
"number": "1205273232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 CALHOUN ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294013538",
"telephone_number": "843-852-6524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 CALHOUN ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294013538",
"telephone_number": "843-852-6524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOLIDGE",
"first_name": "SARAH",
"credential": "EDS, NCSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-31",
"last_updated": "2013-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "SC",
"license": "261874",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "WI",
"license": "727374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.