Active NPI
Mary Elizabeth Easton, PSY.D.
- Psychologist
- Columbia, SC
National Provider Identifier
1932276169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 1721 Shivers Rd
Columbia, SC 29210-5413 - Phone
- (803) 896-8036
- Fax
- (803) 896-7451
- NPI assigned
- Nov 30, 2006
- Last updated
- Dec 14, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | Primary |
Addresses
Primary practice location
1721 Shivers Rd
Columbia, SC 29210-5413
Mailing address
1721 Shivers Rd
Columbia, SC 29210-5413
Phone (803) 896-8036
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355443200000",
"number": "1932276169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 SHIVERS RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292105413",
"telephone_number": "803-896-8036",
"fax_number": "803-896-7451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 SHIVERS RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292105413",
"telephone_number": "803-896-8036",
"fax_number": "803-896-7451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTON",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2012-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
- East Coast Optometric, Inc. (H. Rubin Vision Center)
- East Coast Optometric, Inc. ((DBA) H Rubin Vision Center)
- Jane East
- Bruce McDowell Easterling, M.D.
- Jason P Eastlack, MD
- Angela Eaton-Walker, MD
- Carol Sue Eaton, PA-C
- Taylor Shania Eaton
- Eau Claire Cooperative Health Center ,Inc. (Five Points Pediatrics)
- Eau Claire Cooperative Health Center ,Inc. (Advantage Eye Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.