Active NPI
Peter H Lewis, PSYD, MSCP
- Clinical Psychologist
- Goose Creek, SC
National Provider Identifier
1447413471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1234
- Practice address
- 110 Nnptc Cir BLDG 2418
Goose Creek, SC 29445-6314 - Phone
- (843) 794-6450
- Fax
- (843) 794-6088
- NPI assigned
- Jul 9, 2008
- Last updated
- May 20, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1234 | SC | Primary |
| Prescribing (Medical) Psychologist | 103TP0016X | 344177 | LA |
Addresses
Primary practice location
110 Nnptc Cir BLDG 2418
Goose Creek, SC 29445-6314
Mailing address
110 Nnptc Cir BLDG 2418
Goose Creek, SC 29445-6314
Phone (843) 794-6450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53672 | Other | DC | NATIONAL REGISTER OF HEALTH SERVICE PSYCHOLOGISTS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://nhc-charleston.tricare.mil/ | NHC CHARLESTON |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1234 | SC | MD | Clinical Psychologist |
| 344177 | LA | MD | Prescribing (Medical) Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1447413471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 NNPTC CIR BLDG 2418",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294456314",
"telephone_number": "843-794-6450",
"fax_number": "843-794-6088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 NNPTC CIR BLDG 2418",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294456314",
"telephone_number": "843-794-6450",
"fax_number": "843-794-6088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "PETER",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PSYD, MSCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-09",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SC",
"license": "1234",
"primary": true
},
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "LA",
"license": "344177",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL REGISTER OF HEALTH SERVICE PSYCHOLOGISTS",
"identifier": "53672",
"state": "DC"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://nhc-charleston.tricare.mil/",
"affiliation": "Y",
"affiliationName": "NHC CHARLESTON",
"address_1": "110 Nnptc Cir Bldg 2418",
"city": "Goose Creek",
"state": "SC",
"country_code": "US",
"postal_code": "294456314",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.