Psychology Associates PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

356 Issued in SC

Legal business name

PSYCHOLOGY ASSOCIATES PA

Practice address

605 West Evans Street
Florence, SC 29501

Phone

(843) 667-4432

Fax

(843) 665-9282

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Julius Joe Neely, PHDNPI 1669640454

Title

President

Phone

(843) 667-4432

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julius Joe Neely, PHD

  • Clinical Psychologist
  • Florence, SC
  • NPI 1669640454
  NPD (past) Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205997012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 WEST EVANS STREET",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29501",
            "telephone_number": "843-667-4432",
            "fax_number": "843-665-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 WEST EVANS STREET",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29501",
            "telephone_number": "843-667-4432",
            "fax_number": "843-665-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-667-4432",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0290",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Providers Care
• Mallory Prozzi
• Pruitthealth Home Health, Inc.
• Pruitthealth Hospice, Inc
• Pruitthealth Hospice, Inc.
• Publix Super Markets Inc
• Eric Conrad Puckett, RPH
• Kevin J. Pugh, MD
• Derek Puhalla, PHARMD
• Michael Pullmann, OTR/L

• Clinical Psychologist in Florence, SC
• Providers in Florence, 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 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.

Verify at the official NPI Registry.