SPECTRUM, THERAPY, ASSESSMENT, REHABILITATION (NPI# 1508031006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508031006 |
| Entity Type | Organization |
| Organization Name | SPECTRUM, THERAPY, ASSESSMENT, REHABILITATION |
| Practice Address |
246 Carolinian Dr Summerville SC 29485-7854 |
| Practice Telephone | 9493226316 |
| Mailing Telephone | 9493226316 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |
| Authorized Official Name | MS. ZAHRA JUNE HAJIAGHAMOHSENI (BEHAVIOR ANALYST) |
| Authorized Official Telephone | 8435328349 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
2008-071908 | SC | Behavioral Health & Social Service Providers |
| Street Address |
246 CAROLINIAN DR |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485-7854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699949362 | Spectrum Therapy Assessment and Rehabilitation, LLC | Early Intervention Provider Agency | 246 Carolinian Dr, Summerville, SC 29485-7854 | 2008-04-14 |
| 1497904767 | Star, LLC | Community/Behavioral Health | 246 Carolinian Dr, Summerville, SC 29485-7854 | 2008-09-11 |
| 1235303900 | S Maria Shiloh | Developmental Therapist | 246 Carolinian Dr, Summerville, SC 29485-7854 | 2008-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| Find all providers in zip 29485 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922196187 | James Luther Ellison | Psychologist | 33 Beacon Hill Rd, Columbia, SC 29210-5601 | 2006-10-11 |
| 1003253386 | Lynn Winfield Brown Jr. | Psychologist | 410 Poplar St, Florence, SC 29501-5126 | 2013-05-28 |
| 1386998821 | Applied Behavioral Services | Psychologist | 53 Commons Ct, Pawleys Island, SC 29585-6301 | 2012-11-06 |
| 1659529717 | Midlands Counseling & Consulting Center, LLC | Psychologist | 2611 Forest Dr Ste 114a, Columbia, SC 29204-2372 | 2008-09-03 |
| 1447412440 | Alonzo Jackson Cole IIi | Psychologist | 53 Commons Ct, Pawleys Island, SC 29585-6301 | 2008-06-30 |
| 1932369642 | Rhonda Buford | Psychologist | 398 College Ave, Clemson, SC 29631-1432 | 2008-06-16 |
| 1538206735 | Jerome Prezzy | Psychologist | 2611 Forest Dr, Suite 114a, Columbia, SC 29204-2379 | 2007-01-30 |
| City | SUMMERVILLE |
| Zip Code | 29485 |
Please comment or provide details below to improve the information on SPECTRUM, THERAPY, ASSESSMENT, REHABILITATION.
| 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.