IndividualActive
Alyssa Revuelta, PH.D.
NPI 1871780213 · Clinical Child & Adolescent Psychologist · Mt Pleasant, SC
Provider details
- NPI number
- 1871780213
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1184 (SC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10 Resolute Ln
Suite 207
Mt Pleasant, SC 29464-6608
Phone: (843) 810-9682
Fax: (843) 408-4478
Street-level locationGet directions
Mailing address
10 Resolute Ln
Mt Pleasant, SC 29464-6608
Registry dates
- Enumerated
- 2007-10-01
- Last updated
- 2012-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.