Little Tree Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

LITTLE TREE PSYCHOLOGICAL SERVICES

Practice address

800 Whitworth Cir Ste B
Seneca, SC 29672-9432

Phone

(706) 286-0297

NPI assigned

Sep 11, 2019

Last updated

Nov 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nan CooleyNPI 1295999050

Title

Owner

Phone

(706) 286-0297

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

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.

• Nan W Cooley, PSY.D.

  • Clinical Psychologist
  • Athens, GA
  • NPI 1295999050

  SC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1750930889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WHITWORTH CIR STE B",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296729432",
            "telephone_number": "706-286-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WHITWORTH CIR STE B",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296729432",
            "telephone_number": "706-286-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE TREE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "NAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-286-0297"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Schmutz Leonard, NP
• Ashley A. Lester, LCSW
• Lincare Inc.
• Jonel Lirjoni, MD
• Katherine Michele Litis, MS, CF-SLP
• Alyssa K. Locke, OTR/L
• Mitchell M Loftin, OD
• James Edward Loftus, D.C.
• Adair London, MD
• Kimberly Lynn Long, PT

• Psychologist in Seneca, SC
• Providers in Seneca, SC by specialty
• Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.