Organization Active NPI

Counseling and Psychological Services of the Upstate

  • Counseling Psychologist
  • Clemson, SC
National Provider Identifier
1699217364
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1323 Issued in SC
Legal business name
COUNSELING AND PSYCHOLOGICAL SERVICES OF THE UPSTATE
Practice address
224 Holly Ave
Clemson, SC 29631-2347
Phone
(864) 633-0210
Fax
(864) 722-5380
NPI assigned
Nov 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Authorized official

Name
Christopher Ruth, PHDNPI 1063483741
Title
Psychologist
Phone
(864) 633-0210

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
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 1323 SC Primary

Addresses

Primary practice location

224 Holly Ave
Clemson, SC 29631-2347

Mailing address

224 Holly Ave
Clemson, SC 29631-2347
Phone (864) 633-0210

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.

NPI Registry JSON

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

{
    "created_epoch": "1478995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1699217364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HOLLY AVE",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312347",
            "telephone_number": "864-633-0210",
            "fax_number": "864-722-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 HOLLY AVE",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312347",
            "telephone_number": "864-633-0210",
            "fax_number": "864-722-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND PSYCHOLOGICAL SERVICES OF THE UPSTATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-13",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "RUTH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "864-633-0210",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "SC",
            "license": "1323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.