Active NPI
Roots Psychological Associates, LLC
- Psychologist
- Columbia, SC
National Provider Identifier
1609386838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1412
- Legal business name
- ROOTS PSYCHOLOGICAL ASSOCIATES, LLC
- Practice address
- 1531 Laurel St
Columbia, SC 29201-2622 - Phone
- (803) 764-1010
- Fax
- (803) 764-0193
- NPI assigned
- Oct 2, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patrick James Steele, PSY.D.
- Title
- Owner/Licensed Psychologist
- Phone
- (803) 764-1010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1412 | SC | Primary |
Addresses
Primary practice location
1531 Laurel St
Columbia, SC 29201-2622
Mailing address
1531 Laurel St
Columbia, SC 29201-2622
Phone (803) 764-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0327 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | drpatricksteele@gmail.com |
National Provider Directory
National Provider DirectoryLocations
1 Carriage Ln
Ste I
Charleston, SC 29407
Phone (803) 764-1010
1531 Laurel St
Columbia, SC 29201
Phone (803) 764-1010
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Cayce, SC
- NPI 1649819723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561766400000",
"number": "1609386838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1531 LAUREL ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012622",
"telephone_number": "803-764-1010",
"fax_number": "803-764-0193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 LAUREL ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012622",
"telephone_number": "803-764-1010",
"fax_number": "803-764-0193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOTS PSYCHOLOGICAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-02",
"last_updated": "2019-06-29",
"status": "A",
"authorized_official_last_name": "STEELE",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER/LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "803-764-1010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "SC",
"license": "1412",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0327",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "drpatricksteele@gmail.com",
"affiliation": "N",
"endpointDescription": "business email",
"address_1": "1531 Laurel St",
"city": "Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "292012622",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.