1. Home
  2. Directory
  3. South Carolina
  4. Mt Pleasant
  5. Psychologist
  6. NPI Profile

JACLYN SOUSA PH.D.
NPI 1396197356
Psychologist - Clinical in Mt Pleasant, SC

Active since July 01, 2016
308 BERMUDA TOWNE ROW, MT PLEASANT, SC 29464(203) 518-1667 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 22, 2021, Jan 19, 2021, Oct 27, 2020 and 2 more (5 updates tracked since 2016).

About Jaclyn Sousa Ph.d. NPPES

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

JACLYN SOUSA PH.D. (NPI 1396197356) is an individual clinical provider in Mt Pleasant, South Carolina, licensed in South Carolina (1657) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1396197356
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJACLYN SOUSACredential: PH.D.
Location Address308 BERMUDA TOWNE ROWMt Pleasant, SC 29464-8230
Mailing Address308 Bermuda Towne RowMt Pleasant, SC 29464-8230
Phone(203) 518-1667
Sole ProprietorYes
Enumeration DateJuly 1, 2016
Last NPPES UpdateOctober 22, 20215 updates tracked since enumeration
NPPES CertifiedOctober 22, 2021
✔ NPI 1396197356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in SC · 1657✔ Licensed in MA · 10929
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.
Also ListedPsychologistTaxonomy 103T00000X · License 021648-1 (NY)
308 BERMUDA TOWNE ROW, Mt Pleasant, SC 29464
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

JLS PHD LLC
Community/Behavioral Health
308 BERMUDA TOWNE ROW
MOUNT PLEASANT, SC 29464
Charleston County (203) 518-1667

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 Jaclyn Sousa's NPI number?

The NPI number for Jaclyn Sousa is 1396197356. It was assigned to this individual provider in the NPPES registry on July 1, 2016.

Where is Jaclyn Sousa located?

Jaclyn Sousa practices at 308 Bermuda Towne Row, Mt Pleasant, SC 29464. The listed phone number is (203) 518-1667.

What is Jaclyn Sousa's specialty?

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

When was this NPI record last updated?

The NPPES record for Jaclyn Sousa was last updated on October 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.