Active NPI
Paul Ronald Rasmussen, PHD
- Clinical Psychologist
- Greenville, SC
National Provider Identifier
1558661389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 525
- Practice address
- 107 E Park Ave
Greenville, SC 29601-1631 - Phone
- (864) 370-2262
- NPI assigned
- Oct 27, 2010
- Last updated
- Oct 27, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 525 | SC | Primary |
Addresses
Primary practice location
107 E Park Ave
Greenville, SC 29601-1631
Mailing address
313 Hunters Cir
Greenville, SC 29617-6190
Phone (864) 907-6022
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 525 | SC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288137600000",
"number": "1558661389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 HUNTERS CIR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296176190",
"telephone_number": "864-907-6022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E PARK AVE",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296011631",
"telephone_number": "864-370-2262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASMUSSEN",
"first_name": "PAUL",
"middle_name": "RONALD",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-27",
"last_updated": "2010-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SC",
"license": "525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.