Organization Active NPI

Susan K Jones LLC

  • Clinical Psychologist
  • Goose Creek, SC
National Provider Identifier
1306497151
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SUSAN K JONES LLC
Practice address
105 Central Ave Unit 7
Goose Creek, SC 29445-3269
Phone
(843) 697-1573
NPI assigned
Sep 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Authorized official

Name
Dr. Susan K Jones, PHD
Title
Clinical Psychologist
Phone
(843) 697-1573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

105 Central Ave Unit 7
Goose Creek, SC 29445-3269

Mailing address

1213 Saint Johns Ave
Moncks Corner, SC 29461-9203
Phone (843) 697-1573

Other identifiers 1

IdentifierTypeStateIssuer
1225335169OtherNPPES

National Provider Directory

National Provider Directory

Locations

105 Central Ave
Unit 7
Goose Creek, SC 29445
Phone (843) 697-1573

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1306497151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 SAINT JOHNS AVE",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294619203",
            "telephone_number": "843-697-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CENTRAL AVE UNIT 7",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453269",
            "telephone_number": "843-697-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN K JONES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "843-697-1573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1225335169",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.