Active NPI
Nancy Polstein
- Clinical Psychologist
- Beaufort, SC
National Provider Identifier
1346781200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2094
- Practice address
- 2 Merchants LN
Beaufort, SC 29907-8002 - Phone
- (203) 520-9451
- NPI assigned
- Mar 12, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1379 | SC | |
| Clinical Psychologist | 103TC0700X | 2094 | CT | Primary |
Addresses
Primary practice location
2 Merchants LN
Beaufort, SC 29907-8002
Mailing address
2 Merchants LN
Beaufort, SC 29907-8002
Phone (203) 520-9451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2020 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489276800000",
"number": "1346781200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MERCHANTS LN",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299078002",
"telephone_number": "203-520-9451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MERCHANTS LN",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299078002",
"telephone_number": "203-520-9451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLSTEIN",
"first_name": "NANCY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-12",
"last_updated": "2017-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SC",
"license": "1379",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "2094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2017; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.