COLUMBIA PSYCHOLOGICAL SERVICES


Address: 2611 River Dr, Columbia, SC 29201-1749
Phone: 8032505109

COLUMBIA PSYCHOLOGICAL SERVICES (NPI# 1437701364) 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) 1437701364
Entity Type Organization
Organization Name COLUMBIA PSYCHOLOGICAL SERVICES
Practice Address 2611 River Dr
Columbia
SC 29201-1749
Mailing Address 6024 Robinwood Rd
Columbia
SC 29206-4358
Practice Telephone 8032505109
Mailing Telephone 8032505109
Enumeration Date 2019-07-11
Last Update Date 2019-11-10
Authorized Official Name NICHOLAS BAGNELL (OWNER/PSYCHOLOGIST)
Authorized Official Telephone 8032505109
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
6024 Robinwood Rd, Columbia, SC 292064358 8032505109

Office Location

Street Address 2611 RIVER DR
City COLUMBIA
State SC
Zip Code 29201-1749

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275592669 Suzanne Busbee Snyder Counselor 2611 River Dr, Columbia, SC 29201-1749 2006-03-22
1700277514 Renew Counseling Services LLC Community/Behavioral Health 2611 River Dr, Columbia, SC 29201-1749 2015-02-16
1558793729 Sterling P. Watson Psychologist 2611 River Dr, Columbia, SC 29201-1749 2013-07-30
1679813612 Lynelle Ragland Psychologist 2611 River Dr, Columbia, SC 29201-1749 2013-02-28
1538406319 Lara Sheehi Psychologist 2611 River Dr, Columbia, SC 29201-1749 2013-01-14
1134355878 Barbara Van Cleave Sheridan Counselor 2611 River Dr, Columbia, SC 29201-1749 2009-06-09
1003069915 Carlton A Andrews IIi Counselor 2611 River Dr, Columbia, SC 29201-1749 2008-10-23
1174737340 Suzanne B Snyder, LLC Counselor 2611 River Dr, Columbia, SC 29201-1749 2007-05-09
1942323043 James Harold Brown Counselor 2611 River Dr, Columbia, SC 29201-1749 2007-04-06
1629192042 Rhea Ann Merck Psychologist 2611 River Dr, Columbia, SC 29201-1749 2007-03-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366049421 Souzan Moslehshirazi Behavior Technician 1320 Main Street Suite 300, Colombia, SC 29201 2020-10-02
1295353936 Kayla Faylyn Nicole Mckenzie Specialist/Technologist 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 2020-07-09
1548887128 Casania's Caring Hands,llc Home Health Aide 1113 Belleview Street, 105, Columbia, SC 29201 2020-06-30
1639719909 Benjamin Clark Watson Acupuncturist 1825 Sumter St., Columbia, SC 29201 2020-01-14
1588217574 Aneika Daley Specialist/Technologist 1211 Wheat St, Columbia, SC 29201 2019-07-19
1447803531 Gillian Taylor Shaughnessy Specialist/Technologist 147 South Marion St, Columbia, SC 29201 2019-07-18
1417417619 Maria Nelson Behavior Technician 320 Main St Suite 300, Columbia, SC 29201 2019-03-22
1679041297 Nathaniel Carl Stocker Nurse Practitioner 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 2018-11-13
1558852855 The Practice Family Medicine 1910 Gregg Street, Columbia, SC 29201 2018-05-22
1871095836 Kadesjah Samuels Behavior Technician 1320 Main Street, Suite 300, Columbia, SC 29201 2018-03-06
Find all providers in zip 29201

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215541040 Charles A Burgess Psychologist 119 Parker Hall, Columbia, MO 65211-2340 2020-08-31
1851910335 Columbia Psychology Healing Center LLC Psychologist 1900 N Providence Rd Ste 327, Columbia, MO 65202-3710 2020-04-14
1518515097 Warrenetta Crawford Mann Psychologist 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 2019-08-28
1528523420 Daniel Franco Psychologist 4501 Kentsfield Ln, Columbia, MO 65201-3587 2019-02-05
1861964207 Erin Joy Schuyler Psychologist 26 Barn Owl Ct, Columbia, SC 29209-4488 2018-12-26
1467944439 Zixuan Wang Psychologist 10000 Town Center Ave Apt 434, Columbia, MD 21044-5447 2018-06-05
1366990384 Amanda Marie Jones Psychologist 6851 Oak Hall Ln Ste 118, Columbia, MD 21045-5815 2016-09-19
1124574850 Patrick Steele Psychologist 1531 Laurel St, Columbia, SC 29201 2016-09-01
1073968061 Tara Acevedo, Psy.d., PC Psychologist 6213 Deep Earth Ln, Columbia, MD 21045-2565 2016-04-27
1467833798 Matthew Edmond Fitzgerald Psychologist 6801 Oak Hall Ln # 2254, Columbia, MD 21045-9998 2015-06-11
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Competitor

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City COLUMBIA
Zip Code 29201

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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