Jesse Daniel Chasman, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

1449 Issued in SC

Practice address

1608 Paradise Lake Dr
Mount Pleasant, SC 29464-5719

Phone

(860) 997-4723

NPI assigned

Sep 15, 2011

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Coastal Neuropsychology Services, P.a.

  • Clinical Neuropsychologist
  • Mount Pleasant, SC
  • NPI 1093242091
  Medicare reassignment NPD Authorized official
• Commonwealth Psychology Associates

  • Psychiatry Physician
  • Boston, MA
  • NPI 1942398953

  Clinical Neuropsychologist

  NPD (past)

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366724361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2520",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294652520",
            "telephone_number": "860-997-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 PARADISE LAKE DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645719",
            "telephone_number": "860-997-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASMAN",
        "first_name": "JESSE",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "RI",
            "license": "PS01247",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "SC",
            "license": "1449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charleston Vamc
• Charleston Vascular Surgery, P.C.
• Charleston Wound Care Center LLC
• Charleston-Amg Specialty Hospital, Inc. (Charleston-AMG Specialty Hospital)
• Charleston-Amg Specialty Hospital, Inc.
• Chatterbox Kids
• Amanda Chavous
• Cheerful Chatter LLC
• Abigail Chernin
• Michael Terry Chester, CAC-P

• Clinical Neuropsychologist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Clinical Neuropsychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.