Active NPI
Caroline Beauregard
- School Psychologist
- Sullivans Island, SC
National Provider Identifier
1376970582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 3203 Middle St
Sullivans Island, SC 29482-8650 - Phone
- (303) 588-9511
- NPI assigned
- Oct 2, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
3203 Middle St
Sullivans Island, SC 29482-8650
Mailing address
3203 Middle St
Sullivans Island, SC 29482-8650
Phone (303) 588-9511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588615918 | 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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1376970582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3203 MIDDLE ST",
"city": "SULLIVANS ISLAND",
"state": "SC",
"postal_code": "294828650",
"telephone_number": "303-588-9511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3203 MIDDLE ST",
"city": "SULLIVANS ISLAND",
"state": "SC",
"postal_code": "294828650",
"telephone_number": "303-588-9511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUREGARD",
"first_name": "CAROLINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-02",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1588615918",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sullivans Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.