Organization Active NPI

Roots Psychological Associates, LLC

  • Psychologist
  • Columbia, SC
National Provider Identifier
1609386838
Registry record updated Jun 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1412 Issued in SC
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

Updated by the provider on Jun 29, 2019

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)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0327MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL drpatricksteele@gmail.com

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.