Active NPI
Rochelle Rogers Altman, ED.S, M.A.
- Behavior Analyst
- Goose Creek, SC
National Provider Identifier
1356585749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-10-7188
- Practice address
- 222 Red Bank Rd
Goose Creek, SC 29445 - Phone
- (843) 628-2935
- Fax
- (843) 628-2935
- NPI assigned
- Apr 29, 2009
- Last updated
- Jun 12, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4566 | SC | |
| Behavior Analyst | 103K00000X | 1-10-7188 | SC | Primary |
Addresses
Primary practice location
222 Red Bank Rd
Goose Creek, SC 29445
Mailing address
P.O. BX 1667
Goose Creek, SC 29445
Phone (843) 628-2935
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4566 | SC | MD | Professional Counselor |
Practice roles
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Goose Creek, SC
- NPI 1063647964
-
- Behavior Analyst
- Goose Creek, SC
- NPI 1922528041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339459200000",
"number": "1356585749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BX 1667",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "29445",
"telephone_number": "843-628-2935",
"fax_number": "843-628-2935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 RED BANK RD",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "29445",
"telephone_number": "843-628-2935",
"fax_number": "843-628-2935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTMAN",
"first_name": "ROCHELLE",
"middle_name": "ROGERS",
"name_prefix": "Mrs.",
"credential": "ED.S, M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-29",
"last_updated": "2012-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "SC",
"license": "4566",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "SC",
"license": "1-10-7188",
"primary": true
}
],
"identifiers": [],
"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 Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.