JEROME PREZZY (NPI# 1538206735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538206735 |
| Entity Type | Individual |
| Full Name | JEROME PREZZY |
| Credential | MASTER'S OF ARTS |
| Practice Address |
2611 Forest Dr Suite 114a Columbia SC 29204-2379 |
| Practice Telephone | 8037990144 |
| Practice Fax Number | 8037991136 |
| Mailing Telephone | 8037990144 |
| Mailing Fax Number | 8037991136 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
MRW054 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | WP9902 | 05 |
| Street Address |
2611 FOREST DR SUITE 114A |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-2379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982618161 | Trinity Counseling Services LLC | Counselor | 2611 Forest Dr, Suite 206, Columbia, SC 29204-2379 | 2006-07-27 |
| 1255995411 | Colleen Bradley | Physician Assistant | 2611 Forest Dr, Columbia, SC 29204-2379 | 2019-04-23 |
| 1700374162 | Physical Rehabilitation Group, LLC | Physical Therapist | 2611 Forest Dr, Columbia, SC 29204-2379 | 2018-05-01 |
| 1033425293 | Journey Forward, LLC | Counselor | 2611 Forest Dr, Suite 129, Columbia, SC 29204-2379 | 2010-08-26 |
| 1912132770 | Encore Supply and Services,inc | Durable Medical Equipment & Medical Supplies | 2611 Forest Dr, Suite 130, Columbia, SC 29204-2379 | 2009-05-22 |
| 1386882017 | Abundant Home Care Solutions LLC | Preferred Provider Organization | 2611 Forest Dr, Suite 206, Columbia, SC 29204-2379 | 2009-02-03 |
| 1245477488 | Calvin Gibbs | Orthotic Fitter | 2611 Forest Dr, Suite 103 Office 116, Columbia, SC 29204-2379 | 2009-01-09 |
| 1336302538 | Journey Forward | Counselor | 2611 Forest Dr, Suite 129, Columbia, SC 29204-2379 | 2008-07-08 |
| 1730201815 | Wanda Nunn | Counselor | 2611 Forest Dr, Suite 129, Columbia, SC 29204 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801007984 | David H. Craig | Psychologist | 202 Sunnymeade Dr, Columbia, TN 38401-5225 | 2007-05-24 |
| 1477761252 | Michael R Baum | Psychologist | 6438 Tauler Ct, Columbia, MD 21045-4530 | 2007-05-18 |
| 1922196187 | James Luther Ellison | Psychologist | 33 Beacon Hill Rd, Columbia, SC 29210-5601 | 2006-10-11 |
| 1659529717 | Midlands Counseling & Consulting Center, LLC | Psychologist | 2611 Forest Dr Ste 114a, Columbia, SC 29204-2372 | 2008-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1508031006 | Spectrum, Therapy, Assessment, Rehabilitation | Psychologist | 246 Carolinian Dr, Summerville, SC 29485-7854 | 2008-04-25 |
Please comment or provide details below to improve the information on JEROME PREZZY.
| 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.