Individual provider Active NPI

Edward L Scearce, PSYD

  • Clinical Psychologist
  • Florence, SC
National Provider Identifier
1467678672
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1132 Issued in SC
Practice address
1340 Celebration Blvd
Unit C
Florence, SC 29501-5585
Phone
(843) 536-1180
Fax
(843) 536-1116
NPI assigned
Apr 17, 2007
Last updated
Sep 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1132 SC Primary

Addresses

Primary practice location

1340 Celebration Blvd
Unit C
Florence, SC 29501-5585

Mailing address

1340 Celebration Blvd
Unit a
Florence, SC 29501-5585
Phone (843) 536-1180

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100223000530 SC Practitioner - Clinical Psychologist 5991884074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspring Psychology Group LLCGroup PAC ID 9537382692, 13 clinicians

Practice addresses (Care Compare)

1340 Celebration Blvd
Florence, SC 29501-5585
Phone (843) 536-1180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1132SCMDPhlebology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Psychology Group LLC Clinical CurrentSince Mar 3, 2014 Accepting new patients
Lifecare Psychology Group, LLC Clinical PastSince Jan 21, 2005 Accepting new patients

Locations

1340 Celebration Blvd
Florence, SC 29501
Phone (843) 536-1180

1340 Celebration Blvd
Unit C
Florence, SC 29501
Phone (843) 536-1180

1340 Celebration Blvd
Unit A
Florence, SC 29501
Phone (843) 536-1180

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1467678672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 CELEBRATION BLVD",
            "address_2": "UNIT A",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015585",
            "telephone_number": "843-536-1180",
            "fax_number": "843-536-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 CELEBRATION BLVD",
            "address_2": "UNIT C",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015585",
            "telephone_number": "843-536-1180",
            "fax_number": "843-536-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCEARCE",
        "first_name": "EDWARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.