DR. KIMBERLY MONIQUE BUSH (NPI# 1083704837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083704837 |
Entity Type | Individual |
Full Name | DR. KIMBERLY MONIQUE BUSH |
Credential | M.D. |
Practice Address |
448 Lakeshore Pkwy Ste 110 Rock Hill SC 29730-4264 |
Mailing Address |
2715 Colonial Dr Columbia SC 29203-6818 |
Practice Telephone | 8033293177 |
Mailing Telephone | 7044438755 |
Enumeration Date | 2006-10-13 |
Last Update Date | 2020-09-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
2008-00209 | NC | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
25947 | SC | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376720680 | Kimberly Bush | Art Therapist | 16 Cambridge Pl, Brooklyn, NY 11238-1908 | 2008-01-29 |
1831389683 | Kimberly Ann Bush | Physical Therapist | 555 Purnell Rd, Lebanon, TN 37087-7538 | 2007-07-27 |
1821615493 | Kimberly Bush | Physical Therapy Assistant | 208 S Main Ave, Lake Placid, FL 33852-1810 | 2020-06-30 |
1467775098 | Kimberly Kay Bush | Physical Therapy Assistant | 650 N Shoreline Dr Ste 101, Wasilla, AK 99654-6677 | 2010-03-10 |
1447315643 | Kimberly Rae Bush | Speech-Language Pathologist | 588 Broad Street, Oneida, NY 13421 | 2006-12-27 |
Street Address |
448 LAKESHORE PKWY STE 110 |
City | ROCK HILL |
State | SC |
Zip Code | 29730-4264 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356964019 | Christian Brooke Cooper | Counselor | 448 Lakeshore Pkwy Ste 110, Rock Hill, SC 29730-4264 | 2020-05-28 |
1306478318 | Taylor Richardson | Counselor | 448 Lakeshore Pkwy Ste 110, Rock Hill, SC 29730-4264 | 2020-02-07 |
1194362210 | Tarryn Parker | Counselor | 448 Lakeshore Pkwy Ste 110, Rock Hill, SC 29730-4264 | 2019-12-09 |
1134785397 | Khadija Layne | Marriage & Family Therapist | 448 Lakeshore Pkwy Ste 110, Rock Hill, SC 29730-4264 | 2019-05-14 |
1588129357 | Jasmine Byrd | Counselor | 448 Lakeshore Pkwy Ste 110, Rock Hill, SC 29730-4264 | 2019-02-06 |
1275098162 | Leslie Diane Stover | Social Worker | 448 Lakeshore Pkwy Ste 110, Rock Hill, SC 29730-4264 | 2019-02-05 |
1457824633 | Jerry Brooks Dye Jr. | Counselor | 448 Lakeshore Pkwy Ste 110, Rock Hill, SC 29730-4264 | 2019-01-09 |
1376015834 | Carmen Weldon | Counselor | 448 Lakeshore Pkwy Ste 110, Rock Hill, SC 29730-4264 | 2018-12-21 |
1205305422 | Dedra Darby | Counselor | 448 Lakeshore Pkwy Ste 110, Rock Hill, SC 29730-4264 | 2018-11-16 |
1871009217 | Jamila Me'shae Smith | Counselor | 448 Lakeshore Pkwy Ste 110, Rock Hill, SC 29730-4264 | 2017-12-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972132116 | Jennifer D Dawkins | Health Educator | 151 S. Oakland Ave., Rock Hill, SC 29730 | 2020-04-08 |
1598312969 | Erinnae Cline | Counselor | 864 Springdale Road, Rock Hill, SC 29730 | 2019-08-21 |
1982175139 | A&s Humans Services LLC | Meals | 1111 Southland Dr, Rock Hill, NC 29730 | 2018-12-16 |
1437642824 | Embrace Clinical Services LLC | Social Worker | 331 East Main Streest, Rock Hill, SC 29730 | 2018-06-11 |
1558852384 | Affinity Health Center - Dental | Dentist | 500 Lakeshore Parkway, Rock Hill, SC 29730 | 2018-05-29 |
1942729603 | Carolina Therapy Solutions for Kids, LLC | Occupational Therapy Assistant | 458 Anvil Draw Pl, Rock Hill, SC 29730 | 2017-09-13 |
1245750041 | Revelation Home Health Care | In Home Supportive Care | 331 E. Main Street, Rock Hill, SC 29730 | 2017-06-22 |
1538696703 | Ivan Alexander Carrion | Dentist | 2427 Cross Pointe Dr Ste 101, Rock Hill, SC 29730 | 2017-05-17 |
1154861045 | Community Medicine Foundation, Inc | Clinic/Center | 1140 Saluda Street, Women's Health and Pediatric /adolescent Center, Rock Hill, SC 29730 | 2017-02-27 |
1912447996 | Carolinas Medical Center At Home, LLC | Home Health | 226 Northpark Drive, Suite 120, Rock Hill, SC 29730 | 2017-02-24 |
Find all providers in zip 29730 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1063481844 | Tarunendu Shekhar Dwivedi | Psychiatry & Neurology | 1721 Ebenezer Rd, Suite 265, Rock Hill, SC 29732-4103 | 2006-03-15 |
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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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.