MRS. JILL ROGERS TISDALE
NPI 1720426422
Psychologist - School in Lake City, SC

Active since June 05, 2013
318 E MAIN ST, LAKE CITY, SC 29560(843) 374-2393(843) 374-7245 Get Directions Write a Review

NPPES record last updated: June 5, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Jill Rogers Tisdale NPPES

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

MRS. JILL ROGERS TISDALE (NPI 1720426422) is an individual school provider in Lake City, South Carolina, licensed in South Carolina (180404) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1720426422
Entity TypeIndividualFemale
Primary Taxonomy103TS0200X
Provider Legal NameMRS. JILL ROGERS TISDALE
Location Address318 E MAIN STLake City, SC 29560-2116
Mailing AddressPo Box 1389Lake City, SC 29560-1389 · (843) 374-2393 · Fax (843) 374-7245
Fax(843) 374-7245
Sole ProprietorNo
Enumeration DateJune 5, 2013
NPI 1720426422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
License Licensed in SC · 180404
Definition

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

318 E MAIN ST, Lake City, SC 29560

Other Providers at the Same Location NPPES 7

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

Occupational Therapy Assistant
318 E MAIN ST
LAKE CITY, SC 29560
Occupational Therapist (Pediatrics)
318 E MAIN ST
LAKE CITY, SC 29560
Physical Therapy Assistant
318 E MAIN ST
LAKE CITY, SC 29560
Registered Nurse (School)
318 E MAIN ST
LAKE CITY, SC 29560
Speech-Language Pathologist
318 E MAIN ST
LAKE CITY, SC 29560
Psychologist (School)
318 E MAIN ST
LAKE CITY, SC 29560
Psychologist (School)
318 E MAIN ST
LAKE CITY, SC 29560

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 Jill Tisdale's NPI number?

The NPI number for Jill Tisdale is 1720426422. It was assigned to this individual provider in the NPPES registry on June 5, 2013.

Where is Jill Tisdale located?

Jill Tisdale practices at 318 E Main St, Lake City, SC 29560. The listed phone number is (843) 374-2393.

What is Jill Tisdale's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

When was this NPI record last updated?

The NPPES record for Jill Tisdale was last updated on June 5, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.