Active NPI
Nicole Alexander, PH.D.
- Psychologist
- Columbia, SC
National Provider Identifier
1407907116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1103
- Practice address
- 109 Wescott PL
Columbia, SC 29229-7558 - Phone
- (803) 528-6093
- Fax
- (866) 703-6267
- NPI assigned
- Jan 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 | P2637 | TN | |
| Psychologist | 103T00000X | 1103 | SC | Primary |
Addresses
Primary practice location
109 Wescott PL
Columbia, SC 29229-7558
Mailing address
109 Wescott PL
Columbia, SC 29229-7558
Phone (803) 528-6093
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 |
|---|---|---|---|
| P2637 | TN | MD | Psychologist |
| 1103 | SC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David H. Haase | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Clarksville, TN
- NPI 1386843308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1407907116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 WESCOTT PL",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292297558",
"telephone_number": "803-528-6093",
"fax_number": "866-703-6267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 WESCOTT PL",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292297558",
"telephone_number": "803-528-6093",
"fax_number": "866-703-6267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "NICOLE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "P2637",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "SC",
"license": "1103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.