Active NPI
Holly H Hadley, PSY.D.
- Clinical Psychologist
- N Charleston, SC
National Provider Identifier
1700904760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1045
- Practice address
- 6650 Rivers Ave
N Charleston, SC 29406-4809 - Phone
- (843) 278-5221
- Fax
- (877) 417-5177
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 1045 | SC | Primary |
Addresses
Primary practice location
6650 Rivers Ave
N Charleston, SC 29406-4809
Mailing address
6650 Rivers Ave
N Charleston, SC 29406-4809
Phone (843) 278-5221
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1045 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1700904760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6650 RIVERS AVE",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294064809",
"telephone_number": "843-278-5221",
"fax_number": "877-417-5177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6650 RIVERS AVE",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294064809",
"telephone_number": "843-278-5221",
"fax_number": "877-417-5177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADLEY",
"first_name": "HOLLY",
"middle_name": "H",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SC",
"license": "1045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in N Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.