Individual provider Active NPI

James Strickland, PH.D.

  • Clinical Psychologist
  • Summerville, SC
National Provider Identifier
1881835312
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1792 Issued in SC
Practice address
314 W 4TH North St
Summerville, SC 29483-6550
Phone
(631) 942-8629
NPI assigned
Mar 12, 2009
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1792 SC Primary
Clinical Psychologist 103TC0700X 017981 NY

Addresses

Primary practice location

314 W 4TH North St
Summerville, SC 29483-6550

Mailing address

35 Parris Island Gtwy Ste 320
Beaufort, SC 29906-4244
Phone (843) 694-3118

Other practice location 1

2171 Jericho Tpke
Suite 150
Commack, NY 11725-2937
Phone (631) 486-5140

Other practice location 2

871 Lowcountry Blvd
MT Pleasant, SC 29464-3066
Phone (631) 942-8629

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
I20230320002216 SC Practitioner - Clinical Psychologist 9234289109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charleston Counseling Center PCGroup PAC ID 6204125107, 186 clinicians

Practice addresses (Care Compare)

314 W 4TH N St
Summerville, SC 29483-6550
Phone (843) 501-1099

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017981NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Myrtle Beach Counseling Center CurrentSince Mar 6, 2023 Accepting new patients
Charleston Counseling Center PC CurrentSince Mar 6, 2023 Accepting new patients
Port Jefferson Psychological & Vocational P.C. Clinical PastSince Apr 1, 2003 Accepting new patients

Locations

871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137

314 W 4th North St
Summerville, SC 29483
Phone (631) 942-8629

651 Scholar Way
Ste 101
Summerville, SC 29486
Phone (630) 884-9012

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1881835312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PARRIS ISLAND GTWY STE 320",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299064244",
            "telephone_number": "843-694-3118",
            "fax_number": "631-486-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W 4TH NORTH ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836550",
            "telephone_number": "631-942-8629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2171 Jericho Tpke",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117252937",
            "country_code": "US",
            "telephone_number": "631-486-5140",
            "fax_number": "631-486-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "871 Lowcountry Blvd",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294643066",
            "country_code": "US",
            "telephone_number": "631-942-8629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-12",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1792",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017981",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.