Active NPI
Sandra Marie Coulon, PH.D.
- Clinical Psychologist
- Columbia, SC
National Provider Identifier
1689050429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- IN PROCESS
- Practice address
- 1233 Washington St
Ste. 900
Columbia, SC 29201-3221 - Phone
- (225) 938-6624
- NPI assigned
- Aug 4, 2015
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | IN PROCESS | SC | Primary |
Addresses
Primary practice location
1233 Washington St
Ste. 900
Columbia, SC 29201-3221
Mailing address
1233 Washington St
Ste. 900
Columbia, SC 29201-3221
Phone (225) 938-6624
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IN PROCESS | SC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1689050429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 WASHINGTON ST",
"address_2": "STE. 900",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013221",
"telephone_number": "225-938-6624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 WASHINGTON ST",
"address_2": "STE. 900",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013221",
"telephone_number": "225-938-6624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULON",
"first_name": "SANDRA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-04",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SC",
"license": "IN PROCESS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
- Mollie Carter Cotty, NP-C
- Couch With Christian, LLC
- Joshua Avery Couch-Garner, MSN, APRN, FNP-C
- Stuart Wilder Couch, MD
- Margaret Coughlin
- Katie Coulter, M.S., ATC
- Zelda J Council, M.S. R.D. L.N.
- Counseling & Consultant Services LLC (Counseling Consultants)
- Counseling & Consultant Services LLC (Counseling Consultants)
- Counseling & Consulting Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.