Individual provider Active NPI

Joshua Gordon Chinitz, PHD

  • Clinical Child & Adolescent Psychologist
  • Charleston, SC
National Provider Identifier
1437363330
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
1002 Issued in SC
Practice address
1578 Dowden CT
Charleston, SC 29407-5011
Phone
(202) 841-2660
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 1002 SC
Clinical Child & Adolescent Psychologist 103TC2200X 1002 SC Primary
Family Psychologist 103TF0000X 1002 SC
Group Psychotherapy Psychologist 103TP2701X 1002 SC

Addresses

Primary practice location

1578 Dowden CT
Charleston, SC 29407-5011

Mailing address

1578 Dowden CT
Charleston, SC 29407-5011
Phone (202) 841-2660

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

LicenseStateTypeSpecialty
1002SCMDCognitive & Behavioral Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1437363330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1578 DOWDEN CT",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075011",
            "telephone_number": "202-841-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 DOWDEN CT",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075011",
            "telephone_number": "202-841-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINITZ",
        "first_name": "JOSHUA",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "SC",
            "license": "1002",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "SC",
            "license": "1002",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "SC",
            "license": "1002",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "SC",
            "license": "1002",
            "primary": false
        }
    ],
    "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 May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.