Active NPI
Paula E Sloan, PHD
- Psychologist
- Greenville, SC
National Provider Identifier
1710117486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 510
- Practice address
- 45 Greenland Dr
Greenville, SC 29615-3018 - Phone
- (864) 467-1788
- Fax
- (864) 235-4789
- NPI assigned
- Jul 16, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 510 | SC | Primary |
| Counseling Psychologist | 103TC1900X | 510 | SC |
Addresses
Primary practice location
45 Greenland Dr
Greenville, SC 29615-3018
Mailing address
45 Greenland Dr
Greenville, SC 29615-3018
Phone (864) 467-1788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10 | Other | SC | 19 |
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 |
|---|---|---|---|
| 510 | SC | MD | Foot Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247702400000",
"number": "1710117486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 GREENLAND DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153018",
"telephone_number": "864-467-1788",
"fax_number": "864-235-4789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 GREENLAND DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153018",
"telephone_number": "864-467-1788",
"fax_number": "864-235-4789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOAN",
"first_name": "PAULA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-16",
"last_updated": "2009-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "SC",
"license": "510",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "SC",
"license": "510",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "19",
"identifier": "10",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.