DR. MICHAEL ROBERT NEBOSCHICK (NPI# 1174603922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174603922 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ROBERT NEBOSCHICK |
| Credential | PH.D. |
| Practice Address |
One Carriage Lane, Bldg. J Charleston SC 29407 |
| Mailing Address |
One Carriage Lane, Bldg. J Ashley Therapy Associates Charleston SC 29407 |
| Practice Telephone | 8437735050 |
| Practice Fax Number | 8435735030 |
| Mailing Telephone | 8437735050 |
| Mailing Fax Number | 8435735030 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 328 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | AETNA | 4140516 | 01 |
| SC | VALUE OPTIONS | 000833 | 01 |
| SC | CIGNABEHAVIORAL HEALTH | 49402 | 01 |
| SC | AMERICAN PSYCH SYSTEMS | 100029454001 | 01 |
| Street Address |
ONE CARRIAGE LANE, BLDG. J |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| Find all providers in zip 29407 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659993301 | Alice Huang | Psychologist | 3 Sawgrass Rd Apt A7, Charleston, SC 29412-2580 | 2020-05-15 |
| 1912489378 | Christopher T Sege | Psychologist | 67 President St 2nd Fl S, Msc 861, Charleston, SC 29425 | 2018-09-03 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1003345943 | In Harmony Inc | Psychologist | 1027 Quarrier St, Charleston, WV 25301-2302 | 2017-06-05 |
| 1699223610 | Megan Holly Lawhon | Psychologist | 4407 Maccorkle Ave Se Ste 1, Charleston, WV 25304-2541 | 2016-09-19 |
| 1639537798 | Alicia L Smith | Psychologist | 10 Hale St Ste 206, Charleston, WV 25301-2830 | 2016-02-04 |
| 1992180509 | Daniel Dewey | Psychologist | 17a Cannon St, Charleston, SC 29403-5401 | 2015-07-24 |
| 1043634165 | Kindra Westercamp | Psychologist | 7 Gamecock Ave Ste 710, Charleston, SC 29407-3379 | 2014-02-10 |
| 1013354281 | Kathryn Reid | Psychologist | 1016 Telfair Way, Charleston, SC 29412-2390 | 2013-05-29 |
| 1225339153 | Jennifer Mills Price | Psychologist | 1335 Virginia St E, Charleston, WV 25301-3011 | 2010-11-09 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
Please comment or provide details below to improve the information on DR. MICHAEL ROBERT NEBOSCHICK.
| 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.