Active NPI
Ppi Therapy and Consulting Firm, LLC
- Psychologist
- Simpsonville, SC
National Provider Identifier
1659137248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joy Mauldin, PSY.D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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
National Provider Directory
National Provider DirectoryLocations
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.