Cindy L Carter, PHD
Individual provider Active NPI Clinical Psychologist · Charleston, SC
NPI 1396769451 · NPPES record last updated Mar 25, 2009
Key facts
- NPI
- 1396769451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 795 (SC)
- Practice address
- 171 Ashley Ave
Charleston, SC 29425-0001 - Phone
- (843) 792-1414
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
114 Ashley Ave
Charleston, SC 29401-1249
Phone (843) 805-8001
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070809000276 | SC | Practitioner - Clinical Psychologist | 7517058266 |
Reassigns benefits to 1 organization Practice locations: Charleston, SC |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 795 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cognitive & Behavioral Health Center of Charleston, LLC | Current |
Accepting new patients | |
| Charleston Health Psychology Associates | Clinical | Past |
Accepting new patients |
Locations
29 Leinbach Dr
Ste B4
Charleston, SC 29407
Phone (843) 501-7001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 795 | SC | Yes |
Addresses
Primary practice location
171 Ashley Ave
Charleston, SC 29425-0001
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS0327 | Medicaid | SC |
Other providers in Charleston, SC
- Mariana Carson
- Stephanie Jo Carson
- James Carswell
- Sandra Leigh Carswell
- Andrea Latrice Carter
- Dale Scott Carter
- Destiny Lauren Carter
- Dustin Alan Carter
- Elizabeth Brooke Carter
- George Carter
All providers in Charleston, SC · Clinical Psychologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.