Individual provider Active NPI

Patricia Lee Pruitt, PH.D.

  • Psychologist
  • Lexington, SC
National Provider Identifier
1861751513
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
476 Issued in SC
Practice address
2437 Mineral Springs Rd Ste C
Lexington, SC 29072-9145
Phone
(803) 520-8295
Fax
(803) 520-8298
NPI assigned
May 15, 2012
Last updated
May 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 476 SC Primary

Addresses

Primary practice location

2437 Mineral Springs Rd Ste C
Lexington, SC 29072-9145

Mailing address

2437 Mineral Springs Rd Ste C
Lexington, SC 29072-9145
Phone (803) 520-8295

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1861751513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 MINERAL SPRINGS RD STE C",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729145",
            "telephone_number": "803-520-8295",
            "fax_number": "803-520-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 MINERAL SPRINGS RD STE C",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729145",
            "telephone_number": "803-520-8295",
            "fax_number": "803-520-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "PATRICIA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SC",
            "license": "476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.