Individual provider Active NPI

Whitney Danso, PH.D.

  • Clinical Psychologist
  • Rock Hill, SC
National Provider Identifier
1720611833
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1609 Issued in SC
Practice address
229 Johnston St
Rock Hill, SC 29730-3579
Phone
(803) 947-9231
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5867 NC
Clinical Psychologist 103TC0700X 1609 SC Primary

Addresses

Primary practice location

229 Johnston St
Rock Hill, SC 29730-3579

Mailing address

229 Johnston St
Rock Hill, SC 29730-3579
Phone (803) 947-9231

Other practice location 1

1703 Country Club Rd Ste 204
Jacksonville, NC 28546-6098
Phone (910) 347-3010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210120002666 SC Practitioner - Clinical Psychologist 3870907595
I20230921000559 NC Practitioner - Clinical Psychologist 3870907595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Psychological and Psychiatric Health SRVS PAGroup PAC ID 9436059219, 17 clinicians

Practice addresses (Care Compare)

1703 Country Club Rd
Suite 204
Jacksonville, NC 28546-6006
Phone (910) 347-3010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5867NCMDChiropractor
1609SCMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Psychological and Psychiatric Health SRVS, PA CurrentSince Jul 1, 2023 Accepting new patients
Intrepid Integrative Solutions, Inc Clinical CurrentSince Dec 9, 2020 Accepting new patients
LCP Services NC PLLC CurrentSince Jul 16, 2021 Accepting new patients
Resolutions Counseling and Mediation Services, PLLC PastSince Jul 1, 2023 Accepting new patients

Locations

1703 Country Club Rd
Ste 204
Jacksonville, NC 28546
Phone (910) 347-3010

4000 Shipyard Blvd
Ste 100
Wilmington, NC 28403
Phone (910) 792-5570

229 Johnston St
Rock Hill, SC 29730
Phone (803) 327-9449

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1720611833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 JOHNSTON ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303579",
            "telephone_number": "803-947-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 JOHNSTON ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303579",
            "telephone_number": "803-947-9231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1703 Country Club Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285466098",
            "country_code": "US",
            "telephone_number": "910-347-3010",
            "fax_number": "910-347-3010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANSO",
        "first_name": "WHITNEY",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5867",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.