Individual provider Active NPI

Thelvanesa Murphy, SPECIALIST

  • School Psychologist
  • Columbia, SC
National Provider Identifier
1225308448
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
4585 Issued in SC
Practice address
4824 Smallwood Rd
Unit 202
Columbia, SC 29223-3232
Phone
(803) 708-4532
NPI assigned
Jan 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X 4585 SC
School Psychologist 103TS0200X 4585 SC Primary
Cognitive & Behavioral Psychologist 103TB0200X 4585 SC
Family Psychologist 103TF0000X 4585 SC
Group Psychotherapy Psychologist 103TP2701X 4585 SC

Addresses

Primary practice location

4824 Smallwood Rd
Unit 202
Columbia, SC 29223-3232

Mailing address

4824 Smallwood Rd
Unit 202
Columbia, SC 29223-3232
Phone (803) 708-4532

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

LicenseStateTypeSpecialty
4585SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
C.a.L.M.S. Learning and Developmental Centers, LLC School Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1225308448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 SMALLWOOD RD",
            "address_2": "UNIT 202",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292233232",
            "telephone_number": "803-708-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 SMALLWOOD RD",
            "address_2": "UNIT 202",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292233232",
            "telephone_number": "803-708-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "THELVANESA",
        "credential": "SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "SC",
            "license": "4585",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "SC",
            "license": "4585",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "SC",
            "license": "4585",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "SC",
            "license": "4585",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "SC",
            "license": "4585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.