NPIMap

Organization Active NPI

Harbison Psychological Services, LLC

  • Counseling Psychologist
  • Columbia, SC
National Provider Identifier
1285648105
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
SC809 Issued in SC
Legal business name
HARBISON PSYCHOLOGICAL SERVICES, LLC
Practice address
1 Harbison Way
Suite 229
Columbia, SC 29212-3422
Phone
(809) 749-6620
Fax
(803) 407-6905
NPI assigned
Jul 28, 2006
Last updated
Jul 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Stephanie B Boyd, PHDNPI 1316951981
Title
President and Owner
Phone
(803) 749-6620

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
Counseling Psychologist 103TC1900X SC809 SC Primary

Addresses

Primary practice location

1 Harbison Way
Suite 229
Columbia, SC 29212-3422

Mailing address

1 Harbison Way
Suite 229
Columbia, SC 29212-3422
Phone (809) 749-6620

Other identifiers 3

IdentifierTypeStateIssuer
PS0336MedicaidSC
GP4395MedicaidSC
GP4410MedicaidSC

National Provider Directory

National Provider Directory

Locations

1 Harbison Way
Ste 229
Columbia, SC 29212
Phone (803) 422-1282

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1285648105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HARBISON WAY",
            "address_2": "SUITE 229",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123422",
            "telephone_number": "809-749-6620",
            "fax_number": "803-407-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARBISON WAY",
            "address_2": "SUITE 229",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123422",
            "telephone_number": "809-749-6620",
            "fax_number": "803-407-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBISON PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "803-749-6620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "SC",
            "license": "SC809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PS0336",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4395",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4410",
            "state": "SC"
        }
    ],
    "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 Jul 2, 2008; 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.