DR. AMY M VANDENBERG (NPI# 1275524399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275524399 |
| Entity Type | Individual |
| Full Name | DR. AMY M VANDENBERG |
| Credential | PHARMD |
| Practice Address |
67 President St Iop 3 North Room 339 Charleston SC 29403-5712 |
| Mailing Address |
425 Harrods Ln Charleston SC 29412-4355 |
| Practice Telephone | 8437920179 |
| Mailing Telephone | 8437920179 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
9958 | SC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720472046 | Amy Nicole Vandenberg | Internal Medicine | 500 S Cleveland Ave, Westerville, OH 43081 | 2015-03-25 |
| 1952676421 | Amy Lyn Vandenberg | Registered Nurse | 920 E 28th St, Minneapolis, MN 55407-1139 | 2012-03-17 |
| Street Address |
67 PRESIDENT ST IOP 3 NORTH ROOM 339 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29403-5712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176126 | Susan Carr Sonne | Pharmacist | 67 President St, Clinical Neuroscience Division, Charleston, SC 29403-5712 | 2005-06-30 |
| 1609473396 | Erin Lee Phlegar | Physician Assistant | 67 President St, Charleston, SC 29425-5712 | 2020-10-06 |
| 1790301240 | Cordy Mcgill-scarlett | Psychiatry & Neurology | 67 President St, Charleston, SC 29425-5712 | 2020-06-21 |
| 1609492594 | Adam Mullet | Psychiatry & Neurology | 67 President St, Charleston, SC 29425-5712 | 2020-06-17 |
| 1801411939 | Nancy Katiana Suarez-tipton | Psychiatry & Neurology | 67 President St, Charleston, SC 29425-5712 | 2020-06-15 |
| 1548884828 | Michael Seidman | Psychiatry & Neurology | 67 President St, Charleston, SC 29425-5712 | 2020-06-03 |
| 1013531722 | Ciara Monet Styles | Psychiatry & Neurology | 67 President St, Charleston, SC 29425-5712 | 2020-05-29 |
| 1790307353 | Amanda Gayle Rice | Pharmacist | 67 President St, Charleston, SC 29425-5712 | 2020-05-17 |
| 1558923615 | Amanda Eblin | Nurse Practitioner | 67 President St, Charleston, SC 29425-5712 | 2019-06-28 |
| 1518525450 | Constance Xuanyi Zou | Psychiatry & Neurology | 67 President St, Charleston, SC 29425-5712 | 2019-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780210674 | Samantha Barretta | Behavior Technician | 530 Meeting St, Apt 409, Charleston, SC 29403 | 2020-03-23 |
| 1114497435 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 10 Westedge St, Suite 100, Charleston, SC 29403 | 2018-11-29 |
| 1194266072 | Ashley Rogers Albrecht | Dentist | 29 Bee St, Fourth Floor, Charleston, SC 29403 | 2017-03-13 |
| 1427467307 | Valerie Nicole Garilas | Pharmacist | 1400 Woodruff Road, Greenville, SC 29403 | 2014-08-05 |
| 1467883645 | Disabilities Board of Charleston County | Case Management | 995 Morrison Drive, Suite 100, Charleston, SC 29403 | 2013-12-12 |
| 1326487588 | Tracy Jon Tipton | Urology | 125 Doughty St Ste 300, Charleston, SC 29403 | 2013-06-21 |
| 1205171964 | Brian Sherman | Psychologist | 26a Bee St., Charleston, SC 29403 | 2012-12-06 |
| 1710291455 | Linda Ramsey Bright | Clinical Nurse Specialist | 103 Bee Street, Charleston, SC 29403 | 2010-08-05 |
| 1598990442 | Colleen Lehn Degeorge | Social Worker | 198 Rutledge Avenue, Suite 8, Charleston, SC 29403 | 2009-05-21 |
| 1164618815 | Diane Andrews | Speech-Language Pathologist | Musc Speech Language Pathology, 169 Ashley Ave Msc 335, Charleston, SC 29403 | 2007-09-17 |
| Find all providers in zip 29403 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639157589 | William Alexander Morton Jr. | Pharmacist | 280 Calhoun St, Charleston, SC 29425-8906 | 2006-01-01 |
| 1639176126 | Susan Carr Sonne | Pharmacist | 67 President St, Clinical Neuroscience Division, Charleston, SC 29403-5712 | 2005-06-30 |
| 1861818221 | Calleen Lavinghousez | Pharmacist | 109 Bee St, Dept 119, Charleston, SC 29401-5703 | 2014-03-10 |
| 1083692818 | Shannon J Drayton | Pharmacist | 280 Calhoun St, Charleston, SC 29425-8906 | 2006-01-03 |
| 1376540690 | Robert Bruce Ferguson | Pharmacist | 109 Bee St, Charleston, SC 29401-5703 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023317997 | Julia Seabolt | Pharmacist | 6 Seminole Dr, Greenville, SC 29605-3017 | 2011-03-17 |
| 1689159642 | Jordan Celest Cooler | Pharmacist | 1409 Devine St, Columbia, SC 29208-3902 | 2018-09-26 |
| 1851828255 | James Wade Pitts Jr. | Pharmacist | 130 Highway 252, Anderson, SC 29621-5054 | 2017-05-16 |
| 1841625258 | Katherine Blissit | Pharmacist | 3030 N Highway 81, Pharmacy - 119, Anderson, SC 29621-3620 | 2013-09-05 |
| 1013272632 | Jessica Marie Henry | Pharmacist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2012-07-10 |
| 1295047884 | Jennifer N Houser | Pharmacist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2010-07-12 |
| 1952408361 | Frank Woods II | Pharmacist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2006-09-20 |
| 1568572022 | John C Voris | Pharmacist | 6439 Garners Ferry Rd, Mental Health Service (116), Columbia, SC 29209-1638 | 2006-08-30 |
| City | CHARLESTON |
| Zip Code | 29403 |
Please comment or provide details below to improve the information on DR. AMY M VANDENBERG.
| 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.