Organization Active NPI

Catholic Chrities Counseling

  • Clinical Psychologist
  • Charleston, SC
National Provider Identifier
1942263223
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
450 Issued in SC
Legal business name
CATHOLIC CHRITIES COUNSELING
Practice address
1662 Ingram Rd
Catholic Charities Counseling
Charleston, SC 29407
Phone
(843) 402-9115
Fax
(843) 402-9071
NPI assigned
Apr 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mara Calderon, PHD PSYCHOLOGISTNPI 1174738280
Title
Clinical Psychologist
Phone
(843) 402-9115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 450 SC Primary

Addresses

Primary practice location

1662 Ingram Rd
Catholic Charities Counseling
Charleston, SC 29407

Mailing address

1662 Ingram Rd
Charleston, SC 29407
Phone (843) 403-9115

National Provider Directory

National Provider Directory

Locations

1662 Ingram Rd
Charleston, SC 29407
Phone (843) 402-9115

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942263223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 INGRAM RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29407",
            "telephone_number": "843-403-9115",
            "fax_number": "843-402-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 INGRAM RD",
            "address_2": "CATHOLIC CHARITIES COUNSELING",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29407",
            "telephone_number": "843-402-9115",
            "fax_number": "843-402-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHRITIES COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "MARA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "843-402-9115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "450",
            "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 Aug 22, 2020; 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.