Karissa Katherine Adams, PHD
Individual provider Active NPI Psychologist · Charleston, SC
NPI 1992992044 · NPPES record last updated Oct 2, 2007
Key facts
- NPI
- 1992992044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 1062 (SC)
- Practice address
- 1744 Sam Rittenberg Blvd Ste A3
Charleston, SC 29407-4943 - Phone
- (843) 364-5564
- NPI assigned
- Oct 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- University of North Dakota School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1744 Sam Rittenberg Blvd
A3
Charleston, SC 29407-4943
Phone (843) 364-5564
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120913000805 | SC | Practitioner - Psychologist Billing Independently | 0749438802 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1062 | SC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karissa Adams, PH.D. LLC | Psychologist | Current |
Accepting new patients |
Locations
1744 Sam Rittenberg Blvd
Ste A3
Charleston, SC 29407
Phone (843) 364-5564
1744 Sam Rittenberg Blvd
Ste A
Charleston, SC 29407
Phone (843) 364-5564
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1062 | SC | Yes |
Addresses
Primary practice location
1744 Sam Rittenberg Blvd Ste A3
Charleston, SC 29407-4943
Mailing address
1744 Sam Rittenberg Blvd Ste A3
Charleston, SC 29407-4943
Phone (843) 364-5564
NPI Registry JSON
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1992992044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1744 SAM RITTENBERG BLVD STE A3",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074943",
"telephone_number": "843-364-5564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1744 SAM RITTENBERG BLVD STE A3",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074943",
"telephone_number": "843-364-5564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "KARISSA",
"middle_name": "KATHERINE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-02",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "SC",
"license": "1062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
- Carolina Adams
- Cristin Swords Adams
- David B Adams
- Farrah Adams
- John B Adams II
- Lauren Evey Adams
- Nicola Adams
- Robert Joseph Adams
- Samuel Adams II
- Soni Christine Adams
All providers in Charleston, SC · Psychologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.