Organization Active NPI

Clinical Associates of Hilton Head,P.C

  • Counseling Psychologist
  • Hilton Head Island, SC
National Provider Identifier
1457568107
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
#283 Issued in SC
Legal business name
CLINICAL ASSOCIATES OF HILTON HEAD,P.C
Practice address
21 Office Park Rd
Suite 208
Hilton Head Island, SC 29928-4654
Phone
(843) 842-5526
Fax
(843) 842-4764
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Dr. Marion V. O'Neill, PH.D
Title
President
Phone
(843) 842-5526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X #283 SC Primary

Addresses

Primary practice location

21 Office Park Rd
Suite 208
Hilton Head Island, SC 29928-4654

Mailing address

21 Office Park Rd
Suite 208
Hilton Head Island, SC 29928-4654
Phone (843) 842-5526

Other identifiers 1

IdentifierTypeStateIssuer
1154352920OtherSCINDIVIDUAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1457568107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 OFFICE PARK RD",
            "address_2": "SUITE 208",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299284654",
            "telephone_number": "843-842-5526",
            "fax_number": "843-842-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 OFFICE PARK RD",
            "address_2": "SUITE 208",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299284654",
            "telephone_number": "843-842-5526",
            "fax_number": "843-842-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL ASSOCIATES OF HILTON HEAD,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-842-5526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "SC",
            "license": "#283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1154352920",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.