NPIMap

Organization Active NPI

Florence Comprehensive Psychology Center PC

  • Clinical Psychologist
  • Florence, SC
National Provider Identifier
1669534343
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
606 Issued in SC
Legal business name
FLORENCE COMPREHENSIVE PSYCHOLOGY CENTER PC
Practice address
901 E Cheves St
Suite 460
Florence, SC 29506-2716
Phone
(843) 662-3330
Fax
(843) 662-3315
NPI assigned
Dec 15, 2006
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
Dr. Dora Windsorova, PH.D.NPI 1316011240
Title
President
Phone
(843) 662-3330

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 PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 606 SC Primary

Addresses

Primary practice location

901 E Cheves St
Suite 460
Florence, SC 29506-2716

Mailing address

901 E Cheves St
Suite 460
Florence, SC 29506-2716
Phone (843) 662-3330

Other identifiers 1

IdentifierTypeStateIssuer
PS0215MedicaidSC

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": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669534343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E CHEVES ST",
            "address_2": "SUITE 460",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062716",
            "telephone_number": "843-662-3330",
            "fax_number": "843-662-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E CHEVES ST",
            "address_2": "SUITE 460",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062716",
            "telephone_number": "843-662-3330",
            "fax_number": "843-662-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE COMPREHENSIVE PSYCHOLOGY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINDSOROVA",
        "authorized_official_first_name": "DORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-662-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PS0215",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, 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.