NPIMap

Organization Active NPI

Palmetto Psychological Associates, LLC

  • Psychologist
  • Greenville, SC
National Provider Identifier
1245928423
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PALMETTO PSYCHOLOGICAL ASSOCIATES, LLC
Practice address
832 Wade Hampton Blvd Ste 211
Greenville, SC 29609-4942
Phone
(864) 735-0604
NPI assigned
Apr 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Elizabeth Ingram Shands, PHDNPI 1548639008
Title
Psychologist/Owner
Phone
(864) 735-6880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

832 Wade Hampton Blvd Ste 211
Greenville, SC 29609-4942

Mailing address

832 Wade Hampton Blvd Ste 211
Greenville, SC 29609-4942

National Provider Directory

National Provider Directory

Locations

832 Wade Hampton Blvd
Ste 211
Greenville, SC 29609
Phone (864) 735-0604

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1245928423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 WADE HAMPTON BLVD STE 211",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 WADE HAMPTON BLVD STE 211",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094942",
            "telephone_number": "864-735-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PSYCHOLOGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "SHANDS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "INGRAM",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "864-735-6880",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.