Active NPI
Laura Anne Estupinan-Kane, PH.D.
- Clinical Psychologist
- Charleston, SC
National Provider Identifier
1396952727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 03853
- Practice address
- 204 West Hill Blvd
Joint Base Charleston
Charleston, SC 29404 - Phone
- (843) 963-6548
- NPI assigned
- May 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 03853 | MD | |
| Clinical Psychologist | 103TC0700X | 03853 | MD | Primary |
Addresses
Primary practice location
204 West Hill Blvd
Joint Base Charleston
Charleston, SC 29404
Mailing address
132 Whitemarsh CT
Murrells Inlet, SC 29576-7980
Phone (443) 622-3127
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03853 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1396952727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 WHITEMARSH CT",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295767980",
"telephone_number": "443-622-3127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 WEST HILL BLVD",
"address_2": "JOINT BASE CHARLESTON",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29404",
"telephone_number": "843-963-6548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTUPINAN-KANE",
"first_name": "LAURA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "03853",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "03853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.