Anderson District 4
NPI 1508102328ActiveOrganization· Psychologist, School· Pendleton, SC
Psychologist, School in Pendleton, South Carolina, registered in NPPES in December 2012. The authorized official on file is Thomas Wayne Goodwin, LPES, Director Of Special Education.
Overview
| NPI | 1508102328 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 26, 2012 |
| Last updated in NPPES | Dec 26, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, School Primary | 103TS0200X | 3046 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Psychologist, School providers in Pendleton
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