Active NPI
Susan Mary McClure, PSYD
- Clinical Psychologist
- Charleston, SC
National Provider Identifier
1881718393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 348
- Practice address
- 192 E Bay St
Suite 203
Charleston, SC 29401-2123 - Phone
- (843) 722-3036
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 348 | SC | Primary |
Addresses
Primary practice location
192 E Bay St
Suite 203
Charleston, SC 29401-2123
Mailing address
1551 Ben Sawyer Blvd
#15
Mount Pleasant, SC 29464-5500
Phone (843) 216-7646
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 |
|---|---|---|---|
| 348 | SC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881718393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 BEN SAWYER BLVD",
"address_2": "#15",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294645500",
"telephone_number": "843-216-7646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 E BAY ST",
"address_2": "SUITE 203",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294012123",
"telephone_number": "843-722-3036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLURE",
"first_name": "SUSAN",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SC",
"license": "348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.