PSYCHIATRIC ASSOCIATES OF SPARTANBURG, PA (NPI# 1558499426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558499426 |
| Entity Type | Organization |
| Organization Name | PSYCHIATRIC ASSOCIATES OF SPARTANBURG, PA |
| Practice Address |
943 N Church St Spartanburg SC 29303-2712 |
| Practice Telephone | 8645852214 |
| Practice Fax Number | 8645855608 |
| Mailing Telephone | 8645852214 |
| Mailing Fax Number | 8645855608 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KENNETH W WELLS (OWNER) |
| Authorized Official Telephone | 8645852214 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
2064 | SC | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 1304 | SC | Behavioral Health & Social Service Providers |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
06871 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 068713 | 05 |
| Street Address |
943 N CHURCH ST |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104838119 | Helen Crow Foster | Marriage & Family Therapist | 943 N Church St, Spartanburg, SC 29303-2712 | 2006-08-12 |
| 1114937307 | Kevin Bryan Lynch | Counselor | 943 N Church St, Psychiatric Associates of Spartanburg, Pa, Spartanburg, SC 29303-2712 | 2006-08-09 |
| 1770593618 | Kenneth Wayne Wells | Psychiatry & Neurology | 943 N Church St, Psychiatric Associates of Spartanburg, Spartanburg, SC 29303-2712 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427660794 | Dana Marie Taylor | Counselor | 720 Symmetry Ct, Spartanburg, SC 29316-5673 | 2020-08-18 |
| 1609420074 | Reflections Therapy Group LLC | Counselor | 1060 Boiling Springs Rd Ste 1, Spartanburg, SC 29303-2236 | 2019-07-24 |
| 1538674940 | Life Changing Solutions Group, LLC | Counselor | 269 S Church St Ste 205, Spartanburg, SC 29306-3483 | 2017-12-07 |
| 1518477520 | Lori Ann Ivey | Counselor | 127 Metro Dr, Spartanburg, SC 29303-2789 | 2017-10-04 |
| 1881113025 | Next Generation Counseling, LLC | Counselor | 101 N Pine St Ste 315, Spartanburg, SC 29302-1604 | 2017-09-19 |
| 1154781805 | Ana Kelley | Counselor | 485 S Pine St, Spartanburg, SC 29302-2751 | 2016-02-23 |
| 1720473978 | Upstate Assessment Group LLC | Counselor | 115 Southport Rd Ste F, Spartanburg, SC 29306-3814 | 2015-04-04 |
| 1790182897 | Frances Jean Lyles | Counselor | 397 Serpentine Dr Ste B, Spartanburg, SC 29303-3067 | 2014-12-04 |
| 1629218730 | Nancy Joyce Kimsey | Counselor | 1451 E Main St, Suite 6, Spartanburg, SC 29307-2262 | 2009-03-02 |
| 1275728255 | Monique Andrena Watson | Counselor | 354 Marion Ave, Spartanburg, SC 29306-3604 | 2007-09-12 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
Please comment or provide details below to improve the information on PSYCHIATRIC ASSOCIATES OF SPARTANBURG, PA.
| 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.