Individual provider Active NPI

Joy H Wymer, PH.D.

  • Clinical Neuropsychologist
  • Mount Pleasant, SC
National Provider Identifier
1770568941
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
986 Issued in SC
Practice address
501 Belle Hall Pkwy Unit 202
Mount Pleasant, SC 29464-8322
Phone
(843) 412-0927
Fax
(843) 225-2323
NPI assigned
Dec 10, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 986 SC Primary
Clinical Psychologist 103TC0700X 986 SC

Addresses

Primary practice location

501 Belle Hall Pkwy Unit 202
Mount Pleasant, SC 29464-8322

Mailing address

501 Belle Hall Pkwy Unit 202
Mount Pleasant, SC 29464-8322
Phone (843) 412-0927

Other identifiers 1

IdentifierTypeStateIssuer
PS0414MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051219000026 SC Practitioner - Clinical Psychologist 6305867730 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

501 Belle Hall Pkwy
Unit 202
Mount Pleasant, SC 29464-8322
Phone 843412092701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
986SCMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
JH Wymer, LLC Clinical Neuropsychologist CurrentSince Jan 1, 2006 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Jan 1, 2008 Accepting new patients
University Medical Associates CurrentSince Jan 1, 2008 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients

Locations

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

501 Belle Hall Pkwy
Unit 202
Mt Pleasant, SC 29464
Phone (843) 412-0927

913 Bowman Rd
#B
Mt Pleasant, SC 29464
Phone (843) 856-9530

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1134172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1770568941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BELLE HALL PKWY UNIT 202",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648322",
            "telephone_number": "843-412-0927",
            "fax_number": "843-225-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BELLE HALL PKWY UNIT 202",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648322",
            "telephone_number": "843-412-0927",
            "fax_number": "843-225-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYMER",
        "first_name": "JOY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-10",
        "last_updated": "2023-11-28",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "SC",
            "license": "986",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "986",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PS0414",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.