Active NPI
Mark D Sloan, PHD
- Clinical Psychologist
- Columbia, SC
National Provider Identifier
1740212927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 226
- Practice address
- 4145 Hard Scrabble Rd
Columbia, SC 29223 - Phone
- (803) 788-1440
- Fax
- (803) 788-1440
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 226 | SC | Primary |
Addresses
Primary practice location
4145 Hard Scrabble Rd
Columbia, SC 29223
Mailing address
4145 Hard Scrabble Rd
Columbia, SC 29223
Phone (803) 788-1440
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 |
|---|---|---|---|
| 226 | SC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerald Counseling Center | Past | Accepting new patients |
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 Social Worker
- Sumter, SC
- NPI 1164849782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740212927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4145 HARD SCRABBLE RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29223",
"telephone_number": "803-788-1440",
"fax_number": "803-788-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4145 HARD SCRABBLE RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29223",
"telephone_number": "803-788-1440",
"fax_number": "803-788-1440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOAN",
"first_name": "MARK",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SC",
"license": "226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.