Innovative Psychological Services, Inc

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

Legal business name

INNOVATIVE PSYCHOLOGICAL SERVICES, INC

Practice address

3842 Leeds Ave Unit B
North Charleston, SC 29405-7460

Phone

(843) 990-3701

NPI assigned

Jan 15, 2024

Last updated

Aug 27, 2026By 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

Kimberly Brooks, PSYDNPI 1770948432

Title

Psychologist/President

Phone

(843) 990-3701

Specialties & licenses 3

Addresses

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.

• Kimberly Brooks, PSYD

  • Forensic Psychologist
  • Santa Ana, CA
  • NPI 1770948432
  NPD Authorized official

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1861263204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 CABRILLO PARK DR STE 105",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015017",
            "telephone_number": "714-617-4616",
            "fax_number": "714-617-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3842 LEEDS AVE UNIT B",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057460",
            "telephone_number": "843-990-3701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1037 Chuck Dawley Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294644146",
            "country_code": "US",
            "telephone_number": "843-990-3701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNOVATIVE PSYCHOLOGICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "843-990-3701",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Forensic Psychologist in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Forensic Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.