Active NPI
Catherine Anne Walsh, PH.D.
- Psychologist
- Mount Pleasant, SC
National Provider Identifier
1366577033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 465
- Practice address
- 1060 Cliffwood Dr # B
Mount Pleasant, SC 29464-3522 - Phone
- (843) 884-3121
- Fax
- (843) 849-7728
- NPI assigned
- Feb 22, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 465 | SC | Primary |
Addresses
Primary practice location
1060 Cliffwood Dr # B
Mount Pleasant, SC 29464-3522
Mailing address
1060 Cliffwood Dr # B
Mount Pleasant, SC 29464-3522
Phone (843) 884-3121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS0039 | Medicaid | SC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 465 | SC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366577033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 CLIFFWOOD DR # B",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643522",
"telephone_number": "843-884-3121",
"fax_number": "843-849-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 CLIFFWOOD DR # B",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643522",
"telephone_number": "843-884-3121",
"fax_number": "843-849-7728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "CATHERINE ANNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "SC",
"license": "465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PS0039",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.