Individual provider Active NPI

Paulette G. Muni, PH.D.

  • Clinical Psychologist
  • Hopkins, SC
National Provider Identifier
1346274032
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1007 Issued in SC
Practice address
9711 Garners Ferry Rd
Hopkins, SC 29061-9148
Phone
(803) 462-1313
Fax
(803) 462-1390
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 009578-1 NY
Clinical Psychologist 103TC0700X 1007 SC Primary

Addresses

Primary practice location

9711 Garners Ferry Rd
Hopkins, SC 29061-9148

Mailing address

PO Box 23794
Columbia, SC 29224-3794
Phone (803) 462-1313

Other identifiers 1

IdentifierTypeStateIssuer
PS0520MedicaidSC

Other names 1

  • Paulette G Muni-Brander Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009578-1NYMDPsychologist
1007SCMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1346274032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23794",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292243794",
            "telephone_number": "803-462-1313",
            "fax_number": "803-462-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 GARNERS FERRY RD",
            "city": "HOPKINS",
            "state": "SC",
            "postal_code": "290619148",
            "telephone_number": "803-462-1313",
            "fax_number": "803-462-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNI",
        "first_name": "PAULETTE",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "009578-1",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PS0520",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULETTE",
            "last_name": "MUNI-BRANDER",
            "middle_name": "G",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hopkins, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.