Karly Stroup, PSYD, ABPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1301 Issued in SC

Practice address

201 McNulty St
Blythewood, SC 29016-8554

Phone

(330) 519-1788

NPI assigned

Aug 27, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Karly Warren Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1477786184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MCNULTY ST",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168554",
            "telephone_number": "330-519-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MCNULTY ST",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168554",
            "telephone_number": "330-519-1788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1133 Coloma Way",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "95661",
            "country_code": "US",
            "telephone_number": "330-519-1788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STROUP",
        "first_name": "KARLY",
        "name_prefix": "Dr.",
        "credential": "PSYD, ABPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLY",
            "last_name": "WARREN",
            "prefix": "DR.",
            "credential": "PSYD, ABPP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Psychologist in Blythewood, SC
• Providers in Blythewood, SC by specialty
• Clinical Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.