Active NPI
Joneen Mary Adams, MS
- School Psychologist
- Georgetown, SC
National Provider Identifier
1285116152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 274708
- Practice address
- 895 N Fraser St
Georgetown, SC 29440-3356 - Phone
- (843) 833-8545
- NPI assigned
- Sep 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4646 | SC | |
| School Psychologist | 103TS0200X | 274708 | SC | Primary |
Addresses
Primary practice location
895 N Fraser St
Georgetown, SC 29440-3356
Mailing address
1880 Colony Dr Apt 12D
Surfside Beach, SC 29575-5135
Phone (845) 304-6023
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274708 | SC | MD | School Psychologist |
| 4646 | SC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1285116152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1880 COLONY DR APT 12D",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295755135",
"telephone_number": "845-304-6023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 N FRASER ST",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294403356",
"telephone_number": "843-833-8545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "JONEEN",
"middle_name": "MARY",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-06",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "4646",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "SC",
"license": "274708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.