Organization Active NPI

Ppi Therapy and Consulting Firm, LLC

  • Psychologist
  • Simpsonville, SC
National Provider Identifier
1659137248
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PPI THERAPY AND CONSULTING FIRM, LLC
Practice address
419 SE Main St Ste 205
Simpsonville, SC 29681-2675
Phone
(971) 268-8939
Fax
(864) 288-7701
NPI assigned
Feb 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Dr. Joy Mauldin, PSY.DNPI 1548391527
Title
Psychologist
Phone
(971) 268-8939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

419 SE Main St Ste 205
Simpsonville, SC 29681-2675

Mailing address

2607 Woodruff Rd
Ste. E #205
Simpsonville, SC 29681
Phone (971) 268-8939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260220002789 SC Part B Supplier - Clinic/Group Practice 9830670579 Receives reassigned benefits from 1 practitioner
Practice locations: Simpsonville, SC

National Provider Directory

National Provider Directory

Locations

419 SE Main St
Ste 205
Simpsonville, SC 29681
Phone (971) 268-8939

2607 Woodruff Rd
Ste E205
Simpsonville, SC 29681

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": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1659137248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 WOODRUFF RD",
            "address_2": "STE. E #205",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "29681",
            "telephone_number": "971-268-8939",
            "fax_number": "864-288-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 SE MAIN ST STE 205",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812675",
            "telephone_number": "971-268-8939",
            "fax_number": "864-288-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPI THERAPY AND CONSULTING FIRM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "MAULDIN",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "971-268-8939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.