Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

INNOVATIVE PSYCHOLOGICAL SERVICES, INC
NPI 1861263204
Psychologist - Forensic in North Charleston, SC

Q: What is Innovative Psychological Services, Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

Active since January 15, 2024

3842 LEEDS AVE UNIT B, NORTH CHARLESTON, SC 29405(843) 990-3701 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Innovative Psychological Services, Inc NPPES

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

INNOVATIVE PSYCHOLOGICAL SERVICES, INC (NPI 1861263204) is a healthcare organization registered as a forensic in North Charleston, South Carolina and active in the NPI registry since January 2024. The organization maintains a secondary practice location in Mount Pleasant and lists Kimberly Brooks, Psychologist/president, as its authorized official.

NPPES Registry Identity

NPI1861263204

Entity TypeOrganization

Primary Taxonomy103TF0200X

Legal Business NameINNOVATIVE PSYCHOLOGICAL SERVICES, INC

Location Address3842 LEEDS AVE UNIT BNorth Charleston, SC 29405-7460

Mailing Address525 Cabrillo Park Dr Ste 105Santa Ana, CA 92701-5017 · (714) 617-4616 · Fax (714) 617-4508

Phone(843) 990-3701

Organization SubpartNo

Authorized OfficialKimberly BrooksPsychologist/president · (843) 990-3701

Enumeration DateJanuary 15, 2024

Last NPPES UpdateAugust 27, 2026

NPPES CertifiedAugust 27, 2026

✔ NPI 1861263204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ForensicBehavioral Health & Social Service Providers

Taxonomy Code103TF0200X

Definition

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

3842 LEEDS AVE UNIT B, North Charleston, SC 29405

Open in Google Maps ↗

Secondary Practice Location 1

Location 11037 Chuck Dawley Blvd Ste 102Mount Pleasant, SC 29464-4146 · Phone (843) 990-3701

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Innovative Psychological Services, Inc's NPI number?

The NPI number for Innovative Psychological Services, Inc is 1861263204. It was assigned to this organization in the NPPES registry on January 15, 2024.

Where is Innovative Psychological Services, Inc located?

Innovative Psychological Services, Inc is located at 3842 Leeds Ave Unit B, North Charleston, SC 29405. The listed phone number is (843) 990-3701.

What is Innovative Psychological Services, Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

When was this NPI record last updated?

The NPPES record for Innovative Psychological Services, Inc was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.