Active NPI
Rachel Ellingson, ED.S.
- School Psychologist
- Summerville, SC
National Provider Identifier
1760906523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 553
- Practice address
- 1624 State Rd
Summerville, SC 29486-2752 - Phone
- (843) 899-8786
- NPI assigned
- Aug 2, 2017
- 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 | 553 | SC | Primary |
Addresses
Primary practice location
1624 State Rd
Summerville, SC 29486-2752
Mailing address
2228 N Dallerton Cir
Charleston, SC 29414-5039
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 |
|---|---|---|---|
| 553 | SC | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkeley County School District | 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.
-
- Orientation and Mobility Training Rehabilitation Counselor
- Summerville, SC
- NPI 1952838328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501632000000",
"number": "1760906523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2228 N DALLERTON CIR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1624 STATE RD",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294862752",
"telephone_number": "843-899-8786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLINGSON",
"first_name": "RACHEL",
"credential": "ED.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-02",
"last_updated": "2017-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "SC",
"license": "553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.