Active NPI
Sara Puckett
- School Psychologist
- Charleston, SC
National Provider Identifier
1619880903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 4906
- Practice address
- 843 Melrose Dr
Charleston, SC 29414-5511 - Phone
- (843) 270-9840
- NPI assigned
- Sep 26, 2026
- Last updated
- Sep 26, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 4906 | SC | Primary |
Addresses
Primary practice location
843 Melrose Dr
Charleston, SC 29414-5511
Mailing address
843 Melrose Dr
Charleston, SC 29414-5511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790380800000",
"number": "1619880903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "843 MELROSE DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "843 MELROSE DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145511",
"telephone_number": "843-270-9840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUCKETT",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-26",
"last_updated": "2026-09-26",
"certification_date": "2026-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "SC",
"license": "4906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.