Individual provider Active NPI

Vincent Keith Barnhill, S.S.P.

  • School Psychologist
  • Woodruff, SC
National Provider Identifier
1508200544
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
123851 Issued in SC
Practice address
118 McEdco Rd
Woodruff, SC 29388-9693
Phone
(864) 476-3186
Fax
(864) 476-8616
NPI assigned
Apr 22, 2013
Last updated
Apr 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 123851 SC Primary

Addresses

Primary practice location

118 McEdco Rd
Woodruff, SC 29388-9693

Mailing address

118 McEdco Rd
Woodruff, SC 29388-9693
Phone (864) 476-3186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
123851SCMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg County School District Four Past Accepting new patients

Organizations & group practices 1

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": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1508200544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MCEDCO RD",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293889693",
            "telephone_number": "864-476-3186",
            "fax_number": "864-476-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MCEDCO RD",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293889693",
            "telephone_number": "864-476-3186",
            "fax_number": "864-476-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNHILL",
        "first_name": "VINCENT",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "S.S.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "SC",
            "license": "123851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodruff, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.