Adrian Novit, PHD
Individual provider Active NPI Clinical Psychologist · Charleston, SC
NPI 1215062823 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1215062823
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 756 (SC)
- Practice address
- 3030 Ashley Town Center Dr Ste 203B
Charleston, SC 29414-5678 - Phone
- (843) 410-8448
- Fax
- (843) 735-7323
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lifesource of North Carolina
Practice addresses (Care Compare)
939 Springdale Dr
Clinton, SC 29325-7266
Phone (910) 742-9243
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080319000120 | SC | Practitioner - Clinical Psychologist | 7719063692 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifesource of North Carolina | Clinical | Current |
Accepting new patients |
| Lifesource of North Carolina | Current |
Accepting new patients |
Locations
1915 Ebenezer Rd
Rock Hill, SC 29732
Phone (305) 866-9951
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | 756 | SC | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 756 | SC | |
| Health Service Psychologist | 103TH0100X | 756 | SC | |
| Clinical Psychologist | 103TC0700X | 756 | SC | Yes |
Addresses
Primary practice location
3030 Ashley Town Center Dr Ste 203B
Charleston, SC 29414-5678
Mailing address
3030 Ashley Town Center Dr Ste 203B
Charleston, SC 29414-5678
Phone (843) 410-8448
Other practice location 1
3030 Ashley Town Center Dr Ste 203B
Charleston, SC 29414-5678
Phone (843) 410-8448
Other practice location 2
3030 Ashley Town Center Dr # 203
Charleston, SC 29414-5664
Phone (843) 410-8448
Other practice location 3
3030 Ashley Town Center Dr Ste 203B
Charleston, SC 29414-5678
Phone (843) 410-8448
Other practice location 4
171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 875-8510
Other providers in Charleston, SC
- Elizabeth Anne Norton
- Julien Norton
- Jenelle Michelle Nottoli
- Nova RX LLC
- Chad Michael Novince
- Now Or Never 2011, LLC
- Amy F Nowacki
- Jessica B Nowak
- Amy Spicer Noxon
- Michele Nsianya
All providers in Charleston, SC · Clinical Psychologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.