Active NPI
Doris Paez, PHD
- Psychologist
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 773
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Multi-Specialty | Current | Accepting new patients |
| The Regional Medical Center of Orangeburg and Calhoun Counties | Multi-Specialty | Current | 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 | Current | Accepting new patients |
| Musc Community Physicians | Current | 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
- 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.
-
- Hospitalist Physician
- Orangeburg, SC
- NPI 1003889676
Psychologist
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Neurology Physician
- Orangeburg, SC
- NPI 1144940347
Multi-Specialty
-
- Clinical Psychologist
- Orangeburg, SC
- NPI 1619387123
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.