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DR. SUDIE E BACK PHD
NPI 1164478723
Psychologist - Clinical in Charleston, SC

Active since May 25, 2006
125 DOUGHTY STREET, SUITE 120, CHARLESTON, SC 29425(843) 792-5215(843) 792-0528 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sudie E Back Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUDIE E BACK PHD (NPI 1164478723) is an individual clinical provider in Charleston, South Carolina, licensed in South Carolina (1024) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1164478723
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SUDIE E BACKCredential: PHD
Location Address125 DOUGHTY STREET, SUITE 120Charleston, SC 29425
Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200
Phone(843) 792-5215
Fax(843) 792-0528
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateOctober 29, 2020
NPPES CertifiedOctober 29, 2020
✔ NPI 1164478723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in SC · 1024
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
125 DOUGHTY STREET, Charleston, SC 29425
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALI ANNAIM
Pediatrics (Pediatric Nephrology)
125 DOUGHTY STREET
CHARLESTON, SC 29425
Charleston County (843) 792-8904

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sudie Back's NPI number?

The NPI number for Sudie Back is 1164478723. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Sudie Back located?

Sudie Back practices at 125 Doughty Street Suite 120, Charleston, SC 29425. The listed phone number is (843) 792-5215.

What is Sudie Back's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Sudie Back accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and UnitedHealthcare list Sudie Back as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sudie Back was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.