Individual provider Active NPI

Doris Paez, PHD

  • Psychologist
  • Columbia, SC
National Provider Identifier
1285192120
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
773 Issued in SC
Practice address
1024 Wildwood Centre Dr Ste a
Columbia, SC 29229-8400
Phone
(803) 781-4265
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 773 SC Primary

Addresses

Primary practice location

1024 Wildwood Centre Dr Ste a
Columbia, SC 29229-8400

Mailing address

240 Blake St
Winston Salem, NC 27104-3502
Phone (336) 971-7685

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190605000006 SC Practitioner - Clinical Psychologist 7810218831 Reassigns benefits to 2 organizations
Practice locations: Columbia, SC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Florida College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

910 Cook Rd
Suite B
Orangeburg, SC 29118-2124
Phone (843) 792-1414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians Multi-Specialty CurrentSince Jan 20, 2025 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Multi-Specialty CurrentSince Nov 2, 2020 Accepting new patients
Musc Community Physicians Multi-Specialty Current Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Psychologist Current Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Multi-Specialty CurrentSince Nov 2, 2020 Accepting new patients
Musc Community Physicians CurrentSince Jan 20, 2025 Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1175 Cook Rd
Ste 305
Orangeburg, SC 29118
Phone (803) 395-3715

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0fba742b-eec1-4103-87e5-edbdf1fe1e30/

Organizations & group practices 6

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": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1285192120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 BLAKE ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043502",
            "telephone_number": "336-971-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 WILDWOOD CENTRE DR STE A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298400",
            "telephone_number": "803-781-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAEZ",
        "first_name": "DORIS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "SC",
            "license": "773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.