DR. TARUNENDU SHEKHAR DWIVEDI


Address: 1721 Ebenezer Rd, Suite 265, Rock Hill, SC 29732-4103
Phone: 8033297778

DR. TARUNENDU SHEKHAR DWIVEDI (NPI# 1063481844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063481844
Entity Type Individual
Full Name DR. TARUNENDU SHEKHAR DWIVEDI
Credential M.D.
Practice Address 1721 Ebenezer Rd
Suite 265
Rock Hill
SC 29732-4103
Practice Telephone 8033297778
Practice Fax Number 8033297843
Mailing Telephone 8033297778
Mailing Fax Number 8033297843
Enumeration Date 2006-03-15
Last Update Date 2013-02-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
26861 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC DEA BD8130914 01
SC 268613 05

Office Location

Street Address 1721 EBENEZER RD
SUITE 265
City ROCK HILL
State SC
Zip Code 29732-4103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265435374 Christina M Zimmerman Marriage & Family Therapist 1721 Ebenezer Rd, Suite 215, Rock Hill, SC 29732-4103 2005-05-23
1083037162 Stover Support Services LLC Social Worker 1721 Ebenezer Rd, Suite 265, Rock Hill, SC 29732-4103 2014-01-27
1790029015 Piedmont Carolina Vascular Surgery, LLC Surgery 1721 Ebenezer Rd, Suite 115, Rock Hill, SC 29732-4103 2012-11-27
1831477728 Jennifer Lynne Mokris Dentist 1721 Ebenezer Rd, Suite 135, Rock Hill, SC 29732-4103 2011-07-27
1568750735 Mary Elizabeth Cranford Dentist 1721 Ebenezer Rd, Rock Hill, SC 29732-4103 2011-07-21
1699001461 Julius F Meyer Marriage & Family Therapist 1721 Ebenezer Rd, Suite 215, Rock Hill, SC 29732-4103 2009-10-28
1558590877 Hilary Roe Stover Social Worker 1721 Ebenezer Rd, Suite 265, Rock Hill, SC 29732-4103 2009-07-08
1104052133 Krystal Myers Teague Dentist 1721 Ebenezer Rd, Suite 135, Rock Hill, SC 29732-4103 2009-06-04
1316187222 Monica Revels Counseling LLC Counselor 1721 Ebenezer Rd, Suite 265, Rock Hill, SC 29732-4103 2009-03-05
1518107002 Neesha W Gourley Speech-Language Pathologist 1721 Ebenezer Rd, Suite 225, Rock Hill, SC 29732-4103 2009-02-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023659471 Jessie M. Armstrong Counselor 199 S Herlong Avenue, Rock Hill, SC 29732 2019-10-07
1215407861 Alicia Johnson Occupational Therapist 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 2018-11-27
1346716909 Leslie Marie Metzler Nurse Practitioner 125 Amendment Ave, Rock Hill, SC 29732 2018-10-22
1356824668 Laurie E Grove Counselor 508 Bethel Street, Clover, SC 29732 2018-09-12
1366924441 Chinyere Gill-smith Occupational Therapist 2390 127 Murrah Drive, Rock Hill, SC 29732 2018-09-05
1053825513 Community Medicine Foundation Inc Clinic/Center 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 2017-11-20
1952824906 Miriam George-norman Occupational Therapist 831 Mcdow Drive, Rock Hill, SC 29732 2017-07-21
1255854550 Courtney Costa Counselor 199 S. Herlong Avenue, Rock Hill, NC 29732 2017-07-19
1861913022 Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa Oral & Maxillofacial Surgery 1761 Ebenezer Road, Rock Hill, SC 29732 2017-06-28
1396275806 Chrysalis Autism Center, Inc Assistant Behavior Analyst 1547 Cherry Rd, Rock Hill, SC 29732 2017-06-16
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083704837 Kimberly Monique Bush Psychiatry & Neurology 448 Lakeshore Pkwy Ste 110, Rock Hill, SC 29730-4264 2006-10-13
1679622013 Tarunendu S Dwivedi Md PC Psychiatry & Neurology 1721 Ebenezer Rd, Suite 265, Rock Hill, SC 29732-4103 2007-01-08
1750496311 Gina R Padula Psychiatry & Neurology 101 Sedgewood Dr, Rock Hill, SC 29732-2315 2006-08-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043832157 Envision Wellness Medical Group LLC Psychiatry & Neurology 4100 N Main St Ste 101, Columbia, SC 29203-5800 2020-05-12
1568736247 David Downie Iv, M.d.,p.a. Psychiatry & Neurology 1327 Richland Street, Columbia, SC 29201 2012-02-28
1447522800 Life Strategies LLC Psychiatry & Neurology 2855 Pruitt Dr, Columbia, SC 29204-3645 2012-02-01
1881803641 Ajay Sood Psychiatry & Neurology 255 King St, Charleston, SC 29401-1435 2007-05-21
1619023876 Marietta M. Chua Psychiatry & Neurology 4 Sweet Gum Ln, Hilton Head Island, SC 29928-4207 2007-01-28
1043308356 Herbert Randolph Spencer Psychiatry & Neurology 1800 Colonial Drive, Columbia, SC 29201 2006-10-11
1891883005 Elizabeth Hubbard Jeffords Psychiatry & Neurology 3612 Landmark Dr Ste B, Columbia, SC 29204-4039 2006-10-11
1053359851 Ayanna Swinton Jamison Psychiatry & Neurology 2601 Read St Ste I-10, Columbia, SC 29204-7861 2006-06-03
1144271867 Laureen Judy Noll Psychiatry & Neurology 20 Powderhorn Rd, Simpsonville, SC 29681-3399 2006-05-15
1871579573 Thornton Sterling Mckinney Jr. Psychiatry & Neurology 1919 Gadsden St, Columbia, SC 29201-2346 2005-12-15
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Competitor

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City ROCK HILL
Zip Code 29732

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Dataset Information

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.

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