DR. KIMBERLY MONIQUE BUSH


Address: 448 Lakeshore Pkwy Ste 110, Rock Hill, SC 29730-4264
Phone: 8033293177

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).

Provider Overview

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

Taxonomy

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

Other Providers KIMBERLY BUSH

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

Office Location

Street Address 448 LAKESHORE PKWY STE 110
City ROCK HILL
State SC
Zip Code 29730-4264

Providers in the same location

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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Providers in the same zip code

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
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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
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

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 29730

Improve Information

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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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