SUSAN STEVENS PICKETT (NPI# 1457506263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457506263 |
| Entity Type | Individual |
| Full Name | SUSAN STEVENS PICKETT |
| Credential | PSY.D. |
| Practice Address |
10 Pinckney Colony Road Bldg 300 Bluffton SC 29909-4126 |
| Mailing Address |
10 Pinckney Colony Rd Building 300, Suite 303 Bluffton SC 29909-4126 |
| Practice Telephone | 8434225504 |
| Practice Fax Number | 8438158573 |
| Mailing Telephone | 8438158588 |
| Mailing Fax Number | 8438158573 |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2017-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1090 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PS0456 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972111060 | Susan Michelle Pickett | Dental Hygienist | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2020-07-15 |
| 1194062224 | Susan Portugues Pickett | Pharmacist | 322 Cox Creek Pkwy, Florence, AL 35630-1540 | 2013-01-09 |
| 1417151291 | Susan Leigh Pickett | Speech-Language Pathologist | 544 Lone Oak Rd, Paducah, KY 42003-4538 | 2007-06-13 |
| Street Address |
10 PINCKNEY COLONY ROAD BLDG 300 |
| City | BLUFFTON |
| State | SC |
| Zip Code | 29909-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915027 | Vdp Okatie LLC | Dentist | 10 William Pope Drive, Suite #2, Okatie, SC 29909 | 2020-09-04 |
| 1598379729 | Wellness Institute | Nurse Practitioner | 100 Okatie Center Boulevard North, Okatie, SC 29909 | 2020-09-04 |
| 1649764119 | Sprenger Healthcare of Bluffton, Inc | Skilled Nursing Facility | 60 Okatie Village Drive, Okatie, SC 29909 | 2018-06-19 |
| 1396144291 | Joel Bond | Physical Therapist | 100 Okatie Center Blvd. North, Bluffton, SC 29909 | 2014-08-15 |
| 1528484615 | Barnwell Counseling, LLC | Counselor | 1321 Calhoun Promenade Street, Bluffton, SC 29909 | 2014-03-13 |
| 1508299561 | Katherine Elizabeth Abell | Dentist | 40 Okatie Center Blvd S Ste 302, Okatie, SC 29909 | 2013-08-14 |
| 1578816716 | Costrini Sleep Services, Inc. | Internal Medicine | 8 Okatie Center Blvd., South, Suite 101, Bluffton, SC 29909 | 2012-10-25 |
| 1477845659 | Heart Associate of Hilton Head PC | Internal Medicine | 40 Okatie Boulevard, Suite 100-1, Okatie, SC 29909 | 2011-05-06 |
| 1366740326 | Edward Leonard Meyerink IIi | Pharmacist | 138 Okatie Center Blvd South, (walgreens), Okatie, SC 29909 | 2011-03-01 |
| 1407162944 | Stacey Mae Michaels | Behavioral Analyst | 418 Pinckney Colony Rd, Okate, SC 29909 | 2010-08-22 |
| Find all providers in zip 29909 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992100028 | Margaret Vansciver | Psychologist | 29 Leinbach Dr Ste D2, Charleston, SC 29407-7086 | 2014-10-31 |
| 1871780213 | Alyssa Revuelta | Psychologist | 10 Resolute Ln, Suite 207, Mt Pleasant, SC 29464-6608 | 2007-10-01 |
| 1235219841 | Family Stabilizations LLC | Psychologist | 504 Miller Rd, Sumter, SC 29150-3366 | 2006-10-17 |
| 1053927004 | Kathryn L Marsh | Psychologist | 1505 Blanding St, Columbia, SC 29201-2906 | 2020-09-16 |
| 1336680438 | Charleston Pediatric Psychology, LLC | Psychologist | 222 W Coleman Blvd, Suite 116, Mt Pleasant, SC 29464-3588 | 2017-03-09 |
| 1285013904 | Chelsea Grimsley Oswald | Psychologist | 222 W Coleman Blvd, Suite 116, Mt Pleasant, SC 29464-3588 | 2015-05-27 |
| 1649671413 | Rebecca J Cavazos Morrow | Psychologist | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2014-09-11 |
| 1629490701 | Kristina Kania Bates | Psychologist | 200 Patewood Dr, Suite A200, Greenville, SC 29615-3593 | 2014-01-09 |
| 1639417157 | Emily Powell Lowell | Psychologist | 9 Richland Medical Park Dr Ste 210, Columbia, SC 29203-6859 | 2013-01-17 |
| 1558608844 | Julie S Jones, Psy.d., LLC | Psychologist | 419 Se Main St Ste 300, Simpsonville, SC 29681-2676 | 2013-01-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUSAN STEVENS PICKETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.