NPIMap

Organization Active NPI

Psychological Associates of Rock Hill

  • Clinical Psychologist
  • Rock Hill, SC
National Provider Identifier
1750556486
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
210 Issued in SC
Legal business name
PSYCHOLOGICAL ASSOCIATES OF ROCK HILL
Practice address
1902 Ebenezer Rd
Rock Hill, SC 29732-1014
Phone
(803) 324-5191
NPI assigned
Apr 23, 2008
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. James Killis Phillips III, PH.D
Title
Owner
Phone
(803) 324-5191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 210 SC Primary

Addresses

Primary practice location

1902 Ebenezer Rd
Rock Hill, SC 29732-1014

Mailing address

PO Box 37057
Rock Hill, SC 29732-0517
Phone (803) 324-5191

National Provider Directory

National Provider Directory

Locations

1902 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 322-3480

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1750556486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37057",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297320517",
            "telephone_number": "803-324-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321014",
            "telephone_number": "803-324-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL ASSOCIATES OF ROCK HILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KILLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-324-5191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.