AUTISM ACADEMY OF SOUTH CAROLINA (NPI# 1023476280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023476280 |
| Entity Type | Organization |
| Organization Name | AUTISM ACADEMY OF SOUTH CAROLINA |
| Practice Address |
1505 Blanding St Columbia SC 29201-2906 |
| Practice Telephone | 8039290011 |
| Practice Fax Number | 8035691054 |
| Mailing Telephone | 8039290011 |
| Mailing Fax Number | 8035691054 |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-04-07 |
| Authorized Official Name | LORRI UNUMB (BOARD CHAIR) |
| Authorized Official Telephone | 8035829905 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 3640 | SC | Speech, Language and Hearing Service Providers |
| Y | 103T00000X | Psychologist | 1319 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP7206 | 05 | |
| SC | GP7205 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184984742 | Autism Academy of South Carolina | Clinic/Center | 2243 Percival Rd, Columbia, SC 29223-4021 | 2012-05-16 |
| Street Address |
1505 BLANDING ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629468491 | Allison Brazendale | Psychologist | 1505 Blanding St, Columbia, SC 29201-2906 | 2015-01-30 |
| 1114524410 | Kelsey Jadin | Behavioral Analyst | 1505 Blanding St, Columbia, SC 29201-2906 | 2020-10-08 |
| 1053927004 | Kathryn L Marsh | Psychologist | 1505 Blanding St, Columbia, SC 29201-2906 | 2020-09-16 |
| 1720692684 | Susannah Hamilton Harvin | Behavioral Analyst | 1505 Blanding St, Columbia, SC 29201-2906 | 2020-09-08 |
| 1780212209 | Alex Fidler | Behavioral Analyst | 1505 Blanding St, Columbia, SC 29201-2906 | 2020-03-30 |
| 1336784438 | Jane Christina Stratton | Behavioral Analyst | 1505 Blanding St, Columbia, SC 29201-2906 | 2019-11-12 |
| 1457902454 | Allyson Spak | Assistant Behavior Analyst | 1505 Blanding St, Columbia, SC 29201-2906 | 2019-09-23 |
| 1952951071 | Courtney Renee Pearson | Assistant Behavior Analyst | 1505 Blanding St, Columbia, SC 29201-2906 | 2019-09-19 |
| 1376190967 | Kathleen Blackburn Franke | Psychologist | 1505 Blanding St, Columbia, SC 29201-2906 | 2019-08-20 |
| 1013577592 | Jorge Aaron Garcia | Behavioral Analyst | 1505 Blanding St, Columbia, SC 29201-2906 | 2019-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
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|---|---|---|---|---|
| 1003413493 | Dominica B Hernandez | Psychologist | 4 Doubleday Rd, Columbia, CT 06237-1405 | 2020-10-08 |
| 1326653957 | Brittany A Soto | Psychologist | 2038 Lake Murray Blvd Apt 8203, Columbia, SC 29212-0843 | 2020-09-10 |
| 1740894427 | Shraddha Niphadkar | Psychologist | 406 South 6th Street 119 Parker Hall, Columbia, MO 65211-0001 | 2020-09-01 |
| 1003424474 | Minds Matter Psychological Services | Psychologist | 10015 Old Columbia Rd Ste B33, Columbia, MD 21046-1703 | 2020-07-21 |
| 1457987828 | Anne Marie Zwycewicz | Psychologist | 6510 Belleview Dr, Columbia, MD 21046-1000 | 2020-03-18 |
| 1932757127 | Brienne Allen Schaeffer | Psychologist | 1409 Devine St Fl 3, Columbia, SC 29208-3902 | 2019-08-30 |
| 1285192120 | Doris Paez | Psychologist | 1024 Wildwood Centre Dr Ste A, Columbia, SC 29229-8400 | 2019-03-11 |
| 1801354188 | Better Self Counseling LLC | Psychologist | 8640 Guilford Rd Ste 220, Columbia, MD 21046-2671 | 2019-03-06 |
| 1942767538 | Jennifer Nicole Merrifield | Psychologist | 6439 Garners Ferry Rd Bldg 106, Columbia, SC 29209-1638 | 2019-03-01 |
| 1346711439 | Natalie Gwin | Psychologist | 10630 Little Patuxent Pkwy Ste 310, Columbia, MD 21044-3264 | 2018-12-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.