Active NPI
Stephen A Kisslinger, PSYD, MDIV
- Clinical Psychologist
- Rock Hill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1209
- Practice address
- Dr Stephen a. Kisslinger
2670 Mills Park Dr
Rock Hill, SC 29732 - Phone
- (803) 366-4848
- NPI assigned
- Jul 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1209 | SC | Primary |
Addresses
Primary practice location
Dr Stephen a. Kisslinger
2670 Mills Park Dr
Rock Hill, SC 29732
Mailing address
Stephen Kisslinger
105 Stafford Dr
York, SC 29745
Phone (803) 246-0844
Other practice location 1
Stephen A. Kisslinger
105 Stafford drive
York, SC 29745-7398
Phone (803) 246-0844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
105 Stafford Dr
York, SC 29745-7398
500 Westover Dr
Sanford, NC 27330-8941
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1209 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current | Accepting new patients |
Locations
170 Meeting St
Charleston, SC 29401
Phone (843) 983-8320
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1245494764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "STEPHEN KISSLINGER",
"address_2": "105 STAFFORD DR",
"city": "YORK",
"state": "SC",
"postal_code": "29745",
"telephone_number": "803-246-0844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DR STEPHEN A. KISSLINGER",
"address_2": "2670 MILLS PARK DR",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "29732",
"telephone_number": "803-366-4848"
}
],
"practiceLocations": [
{
"address_1": "Stephen A. Kisslinger",
"address_2": "105 Stafford drive",
"address_purpose": "LOCATION",
"city": "York",
"state": "SC",
"postal_code": "297457398",
"country_code": "US",
"telephone_number": "803-246-0844",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KISSLINGER",
"first_name": "STEPHEN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSYD, MDIV",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-14",
"last_updated": "2025-02-19",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SC",
"license": "1209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.