Active NPI
Mark Sterlyn Coe, PH.D.
- Clinical Psychologist
- Lancaster, SC
National Provider Identifier
1710111984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1107
- Practice address
- 329 W Meeting St
Lancaster, SC 29720-2319 - Phone
- (803) 467-1147
- Fax
- (866) 812-1268
- NPI assigned
- May 4, 2009
- Last updated
- May 4, 2009
- Sex
- Male
- 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 | 1107 | SC | Primary |
Addresses
Primary practice location
329 W Meeting St
Lancaster, SC 29720-2319
Mailing address
961 N Main St
PMB# 306
Lancaster, SC 29720-2188
Phone (803) 467-1147
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 |
|---|---|---|---|
| 1107 | SC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241395200000",
"number": "1710111984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "961 N MAIN ST",
"address_2": "PMB# 306",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297202188",
"telephone_number": "803-467-1147",
"fax_number": "866-812-1268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 W MEETING ST",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297202319",
"telephone_number": "803-467-1147",
"fax_number": "866-812-1268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COE",
"first_name": "MARK",
"middle_name": "STERLYN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-04",
"last_updated": "2009-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SC",
"license": "1107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, SC
- Mark Anthony Ciminelli, M.D., F.A.C.C.
- Sarah Baucom Clanton, MA, LPC-A
- Abigale Clapham, MS RD LD
- Quanita Montgomery Clyburn
- Melissa D Cocho-Tanner, OT
- Shameka Coleman
- Commonground Counseling and Life Coaching
- Communities in Schools
- Community Medicine Foundation, Inc (North Central Family Medical Center)
- Comsee Homecare LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.