Individual provider Active NPI

Lois Joan Veronen, PH.D.

  • Clinical Psychologist
  • Rock Hill, SC
National Provider Identifier
1609826692
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
259 Issued in SC
Practice address
229 Johnston St
Rock Hill, SC 29730-3579
Phone
(803) 327-9449
Fax
(803) 328-1866
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 259 SC Primary

Addresses

Primary practice location

229 Johnston St
Rock Hill, SC 29730-3579

Mailing address

229 Johnston St
Rock Hill, SC 29730-3579
Phone (803) 327-9449

Other identifiers 1

IdentifierTypeStateIssuer
PS0073MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511000819 SC Practitioner - Clinical Psychologist 0648269902 Practice locations: Rock Hill, SC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

229 Johnston St
Rock Hill, SC 29730-3579
Phone (803) 327-9449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
259SCMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1609826692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 JOHNSTON ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303579",
            "telephone_number": "803-327-9449",
            "fax_number": "803-328-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 JOHNSTON ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303579",
            "telephone_number": "803-327-9449",
            "fax_number": "803-328-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERONEN",
        "first_name": "LOIS",
        "middle_name": "JOAN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PS0073",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.