Individual provider Active NPI

Anna Caroline Chinnes, PHD IN PSYCHOLOGY

  • Clinical Psychologist
  • Florence, SC
National Provider Identifier
1245752948
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2774 Issued in KS
Practice address
1340 Celebration Blvd
Florence, SC 29501-5585
Phone
(843) 536-1180
NPI assigned
Jul 13, 2017
Last updated
Dec 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2774 KS Primary

Addresses

Primary practice location

1340 Celebration Blvd
Florence, SC 29501-5585

Mailing address

1340 Celebration Blvd
Florence, SC 29501-5585
Phone (843) 536-1180

Other practice location 1

1901 E 1st St
Newton, KS 67114-5010
Phone (316) 284-6400

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1644SCMDMarriage & Family Therapist
2774KSMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1245752948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 CELEBRATION BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015585",
            "telephone_number": "843-536-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 CELEBRATION BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015585",
            "telephone_number": "843-536-1180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "KS",
            "postal_code": "671145010",
            "country_code": "US",
            "telephone_number": "316-284-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHINNES",
        "first_name": "ANNA",
        "middle_name": "CAROLINE",
        "credential": "PHD IN PSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "2774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.