Individual provider Active NPI

Cadie Comeaux, EDS

  • School Psychologist
  • Mount Pleasant, SC
National Provider Identifier
1629822853
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
239649 Issued in SC
Practice address
501 Belle Hall Pkwy Unit 202
Mount Pleasant, SC 29464-8322
Phone
(843) 412-0927
Fax
(843) 225-2323
NPI assigned
Apr 15, 2024
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 239649 SC Primary

Addresses

Primary practice location

501 Belle Hall Pkwy Unit 202
Mount Pleasant, SC 29464-8322

Mailing address

501 Belle Hall Pkwy Unit 202
Mount Pleasant, SC 29464-8322
Phone (843) 412-0927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
239649SCMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1629822853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BELLE HALL PKWY UNIT 202",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648322",
            "telephone_number": "843-412-0927",
            "fax_number": "843-225-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BELLE HALL PKWY UNIT 202",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648322",
            "telephone_number": "843-412-0927",
            "fax_number": "843-225-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMEAUX",
        "first_name": "CADIE",
        "credential": "EDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "SC",
            "license": "239649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.