Susan Stevens Pickett, PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

1090 Issued in SC

Practice address

10 Pinckney Colony Road
BLDG 300
Bluffton, SC 29909-4126

Phone

(843) 422-5504

Fax

(843) 815-8573

NPI assigned

Nov 20, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychological & Counseling Associates of the Lowcountry, LLC

  • Clinical Psychologist
  • Bluffton, SC
  • NPI 1174702096
  NPD (past)
• Psychological and Counseling Center

  • Adult Health Nurse Practitioner
  • Bluffton, SC
  • NPI 1437697224
  NPD (past)

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1457506263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PINCKNEY COLONY RD",
            "address_2": "BUILDING 300, SUITE 303",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299094126",
            "telephone_number": "843-815-8588",
            "fax_number": "843-815-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PINCKNEY COLONY ROAD",
            "address_2": "BLDG 300",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299094126",
            "telephone_number": "843-422-5504",
            "fax_number": "843-815-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "SUSAN",
        "middle_name": "STEVENS",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "SC",
            "license": "1090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PS0456",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gaston O. Perez, M.D. F.A.A.F.P.
• Samantha Margaret Perkowski, LBSW
• Kayo Perley, MD
• Christina Nichole Perry
• Andrew Phillips, DDS
• Hannah Picklesimer
• Katherine Pierce, DO
• Laura Piers, RD, LD
• Pinnacle Plastic Surgery Associates LLC (Pinnacle Plastic Surgery)
• Holly Catherine Pippin, M.S., CCC-SLP

• Clinical Child & Adolescent Psychologist in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Clinical Child & Adolescent Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.