Active NPI
Susan K Jones LLC
- Clinical Psychologist
- Goose Creek, SC
National Provider Identifier
1306497151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225335169 | Other | NPPES |
National Provider Directory
National Provider DirectoryLocations
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.