David Andrew Paris, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1141 Issued in NH

Practice address

1101 Johnson Ave Ste 204
Myrtle Beach, SC 29577-1895

Phone

(843) 477-0177

NPI assigned

Nov 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1720269483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 JOHNSON AVE STE 204",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771895",
            "telephone_number": "843-477-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 JOHNSON AVE STE 204",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771895",
            "telephone_number": "843-477-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIS",
        "first_name": "DAVID",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-21",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "1141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Christine Kudsin Parent, M, CCC-SLP
• Regan Parent
• Parent'S Choice Therapy, LLC
• Rajesh Ajay Pareta, MD, PHD
• Dane Paris, MD
• Jie Young Park Curtis, DO
• Alexis Ann Parker, FNP
• Amy Ann Parker, RN
• Ashley G Parker, FNP
• Ashlyn Parker, DNP, CRNA

• Clinical Psychologist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Clinical Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.