Active NPI
New Hope Professional Psychological Services, LLC
- Psychologist
- Summerville, SC
National Provider Identifier
1245547884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- NEW HOPE PROFESSIONAL PSYCHOLOGICAL SERVICES, LLC
- Practice address
- 405 W 5TH North St
Suite B
Summerville, SC 29483-6515 - Phone
- (843) 832-8008
- Fax
- (843) 832-8009
- NPI assigned
- Sep 2, 2010
- Last updated
- Sep 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roy Allen Lish, PSY.D.
- Title
- Licensed Psychologist/Owner
- Phone
- (843) 832-8008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | Primary |
Addresses
Primary practice location
405 W 5TH North St
Suite B
Summerville, SC 29483-6515
Mailing address
405 W 5TH North St
Suite B
Summerville, SC 29483-6515
Phone (843) 832-8008
National Provider Directory
National Provider DirectoryLocations
405 W 5th North St
#B
Summerville, SC 29483
Phone (843) 832-8008
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Summerville, SC
- NPI 1225154669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283385600000",
"number": "1245547884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 W 5TH NORTH ST",
"address_2": "SUITE B",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294836515",
"telephone_number": "843-832-8008",
"fax_number": "843-832-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W 5TH NORTH ST",
"address_2": "SUITE B",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294836515",
"telephone_number": "843-832-8008",
"fax_number": "843-832-8009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW HOPE PROFESSIONAL PSYCHOLOGICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-02",
"last_updated": "2010-09-02",
"status": "A",
"authorized_official_last_name": "LISH",
"authorized_official_first_name": "ROY",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/OWNER",
"authorized_official_telephone_number": "843-832-8008",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.