Nicholas Bagnell, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1548 Issued in SC

Practice address

1331 Elmwood Ave Ste 300B
Columbia, SC 29201-2150

Phone

(803) 250-5109

NPI assigned

May 24, 2010

Last updated

Oct 17, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cola Psych Connections, LLC

  • Clinical Psychologist
  • Columbia, SC
  • NPI 1518803493
  Authorized official Same address or phone
• Columbia Psychological Services

  • Clinical Psychologist
  • Columbia, SC
  • NPI 1437701364

  Mental Health

  NPD
• Midlands Behavioral Health

  dba Southeastern Center for Behavioral Health

  • Psychologist
  • Columbia, SC
  • NPI 1285402180
  NPD

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1497074934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 ELMWOOD AVE STE 300B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012150",
            "telephone_number": "803-250-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 ELMWOOD AVE STE 300B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012150",
            "telephone_number": "803-250-5109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Napa Vallejo Hwy",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945586293",
            "country_code": "US",
            "telephone_number": "707-253-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6024 Robinwood Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292064358",
            "country_code": "US",
            "telephone_number": "803-250-5109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGNELL",
        "first_name": "NICHOLAS",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Baechtold, LMSW
• David Baehren
• Bagga Optometry LLC
• Teresa N Baggett, MD
• Carolane Bagnal, RN,BSN
• Amy Bagwell
• Bradley Bahls, OD
• Adam J Baier, P.A.-C
• Kathryn Marie Bailes, DC
• Bailey B LMT, LLC (The Supine Studio)

• Clinical Psychologist in Columbia, SC
• Providers in Columbia, 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 17, 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.