Active NPI
Cristy Altman, LPES
- School Psychologist
- Florence, SC
National Provider Identifier
1730865072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 4661
- Practice address
- 1340 Celebration Blvd
Florence, SC 29501-5585 - Phone
- (843) 536-1182
- Fax
- (843) 536-1116
- NPI assigned
- Jun 22, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 4661 | SC | Primary |
Addresses
Primary practice location
1340 Celebration Blvd
Florence, SC 29501-5585
Mailing address
225 Maple Dr
Pamplico, SC 29583-4346
Phone (843) 687-4456
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 |
|---|---|---|---|
| 4661 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspring Psychology Group LLC | Current | Accepting new patients |
Locations
1340 Celebration Blvd
Florence, SC 29501
Phone (843) 536-1180
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Florence, SC
- NPI 1255756565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1730865072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 MAPLE DR",
"city": "PAMPLICO",
"state": "SC",
"postal_code": "295834346",
"telephone_number": "843-687-4456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 CELEBRATION BLVD",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295015585",
"telephone_number": "843-536-1182",
"fax_number": "843-536-1116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTMAN",
"first_name": "CRISTY",
"credential": "LPES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-22",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "SC",
"license": "4661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.