Individual provider Active NPI

Natalie M Fadel, PSY.D. LLC

  • Psychologist
  • Spartanburg, SC
National Provider Identifier
1699194845
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1248 Issued in SC
Practice address
152 Magnolia St
Spartanburg, SC 29306-2316
Phone
(864) 978-5383
Fax
(864) 591-3001
NPI assigned
Apr 15, 2014
Last updated
Nov 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1248 SC Primary

Addresses

Primary practice location

152 Magnolia St
Spartanburg, SC 29306-2316

Mailing address

152 Magnolia St
Spartanburg, SC 29306-2316
Phone (864) 978-5383

Other identifiers 1

IdentifierTypeStateIssuer
PS0546MedicaidSC

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1248SCMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1699194845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 MAGNOLIA ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293062316",
            "telephone_number": "864-978-5383",
            "fax_number": "864-591-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 MAGNOLIA ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293062316",
            "telephone_number": "864-978-5383",
            "fax_number": "864-591-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADEL",
        "first_name": "NATALIE",
        "middle_name": "M",
        "credential": "PSY.D. LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SC",
            "license": "1248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PS0546",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.