NPIMap

Organization Active NPI

Sally King, PH.D., P.a.

  • Clinical Child & Adolescent Psychologist
  • Columbia, SC
National Provider Identifier
1619019825
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
SC 217 Issued in SC
Legal business name
SALLY KING, PH.D., P.A.
Practice address
1898 Calhoun St
Unit # 5
Columbia, SC 29201-2612
Phone
(803) 252-5300
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sally King, PH.D.NPI 1265531966
Title
President
Phone
(803) 252-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X SC 217 SC Primary

Addresses

Primary practice location

1898 Calhoun St
Unit # 5
Columbia, SC 29201-2612

Mailing address

1898 Calhoun St
Unit # 5
Columbia, SC 29201-2612
Phone (803) 252-5300

Other identifiers 1

IdentifierTypeStateIssuer
PS0075MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619019825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1898 CALHOUN ST",
            "address_2": "UNIT # 5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012612",
            "telephone_number": "803-252-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1898 CALHOUN ST",
            "address_2": "UNIT # 5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012612",
            "telephone_number": "803-252-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY KING, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-252-5300",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "SC",
            "license": "SC 217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PS0075",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "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 Aug 22, 2020; 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.