Organization Active NPI

Intrepid Integrative Solutions, Inc

  • Clinical Psychologist
  • Rock Hill, SC
National Provider Identifier
1346875556
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
INTREPID INTEGRATIVE SOLUTIONS, INC
Practice address
229 Johnston St
Rock Hill, SC 29730-3579
Phone
(803) 947-9231
NPI assigned
Mar 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Authorized official

Name
Whitney Danso, PH.D.NPI 1720611833
Title
Founder
Phone
(803) 947-9231

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

229 Johnston St
Rock Hill, SC 29730-3579

Mailing address

229 Johnston St
Rock Hill, SC 29730-3579

National Provider Directory

National Provider Directory

Locations

2764 Pleasant Rd
Ste 10728
Fort Mill, SC 29708

229 Johnston St
Rock Hill, SC 29730
Phone (803) 327-9449

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1346875556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 JOHNSTON ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 JOHNSTON ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303579",
            "telephone_number": "803-947-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTREPID INTEGRATIVE SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "DANSO",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "803-947-9231",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.