DR. SARA CASTILLO-THOMPSON (NPI# 1568550259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568550259 |
| Entity Type | Individual |
| Full Name | DR. SARA CASTILLO-THOMPSON |
| Credential | PH.D. |
| Practice Address |
2233 Deerfield Dr Fort Mill SC 29715-6941 |
| Practice Telephone | 8035482527 |
| Mailing Telephone | 8035482527 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2013-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
000601 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 342725 | 05 |
| Street Address |
2233 DEERFIELD DR |
| City | FORT MILL |
| State | SC |
| Zip Code | 29715-6941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508896697 | Susan M. Supsura | Speech-Language Pathologist | 2233 Deerfield Dr, Fort Mill, SC 29715-6941 | 2006-07-04 |
| 1952966681 | Kelly Sanders Dusek | Counselor | 2233 Deerfield Dr, Fort Mill, SC 29715-6941 | 2019-05-08 |
| 1366007379 | Heather G. Aiazzi | Counselor | 2233 Deerfield Dr, Fort Mill, SC 29715-6941 | 2019-05-06 |
| 1194271122 | Sydney Wright Estes | Counselor | 2233 Deerfield Dr, Fort Mill, SC 29715-6941 | 2016-08-30 |
| 1699108738 | Julie Burt | Physical Therapist | 2233 Deerfield Dr, Fort Mill, SC 29715-6941 | 2013-08-13 |
| 1013349760 | Isabelle Witzel | Occupational Therapist | 2233 Deerfield Dr, Fort Mill, SC 29715-6941 | 2013-08-05 |
| 1467890418 | Donna Kay Kroener | Psychologist | 2233 Deerfield Dr, Fort Mill, SC 29715-6941 | 2013-06-12 |
| 1356789382 | Kathleen Lynn Anderson | Psychologist | 2233 Deerfield Dr, Fort Mill, SC 29715-6941 | 2013-06-12 |
| 1962840454 | Lori Huechtker | Occupational Therapist | 2233 Deerfield Dr, Fort Mill, SC 29715-6941 | 2013-06-06 |
| 1144667445 | Donna Mecca | Occupational Therapy Assistant | 2233 Deerfield Dr, Fort Mill, SC 29715-6941 | 2013-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590278 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1919 Springfield Parkway, Fort Mill, SD 29715 | 2020-08-25 |
| 1336759307 | Elizabeth Blakeney Sitton | Dentist | 3463 Us-21 #101, Fort Mill, SC 29715 | 2020-08-05 |
| 1730715293 | Fort Mill Dobys Bridge Dental LLC | Clinic/Center | 1500 Fort Mill Pkwy #108, Fort Mill, SC 29715 | 2020-03-17 |
| 1841728755 | Dennis Demetrius Williams | Specialist/Technologist | 1179 Madison Green Dr, Fort Mill, SC 29715 | 2017-05-23 |
| 1437684453 | Specialty Orthopaedics and Sports Medicine | Orthopaedic Surgery | 130 Crisanto Ave Ste B, Fort Mill, SC 29715 | 2017-04-27 |
| 1730624115 | Springfield Dentistry | Dentist | 452 Mercantile Place, Fort Mill, SC 29715 | 2016-12-21 |
| 1700335569 | Melby Transitions Mht LLC | Internal Medicine | 1148 Wessington Manor Ln, Fort Mill, SC 29715 | 2016-09-22 |
| 1629434071 | Palmetto Family Pharmacy Regent Park | Pharmacy | 1046 Regent Parkway, Suite 104, Fort Mill, SC 29715 | 2016-01-14 |
| 1619374220 | Rebecca Rowe | Speech-Language Pathologist | 8835 Gladden Hill Ln, Fort Mill, SC 29715 | 2014-11-25 |
| 1003248873 | Terri Hennessey | Speech-Language Pathologist | 1599 Farm House Dr, Fort Mill, SC 29715 | 2013-08-05 |
| Find all providers in zip 29715 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992100028 | Margaret Vansciver | Psychologist | 29 Leinbach Dr Ste D2, Charleston, SC 29407-7086 | 2014-10-31 |
| 1457506263 | Susan Stevens Pickett | Psychologist | 10 Pinckney Colony Road, Bldg 300, Bluffton, SC 29909-4126 | 2008-11-20 |
| 1871780213 | Alyssa Revuelta | Psychologist | 10 Resolute Ln, Suite 207, Mt Pleasant, SC 29464-6608 | 2007-10-01 |
| 1235219841 | Family Stabilizations LLC | Psychologist | 504 Miller Rd, Sumter, SC 29150-3366 | 2006-10-17 |
| 1053927004 | Kathryn L Marsh | Psychologist | 1505 Blanding St, Columbia, SC 29201-2906 | 2020-09-16 |
| 1336680438 | Charleston Pediatric Psychology, LLC | Psychologist | 222 W Coleman Blvd, Suite 116, Mt Pleasant, SC 29464-3588 | 2017-03-09 |
| 1285013904 | Chelsea Grimsley Oswald | Psychologist | 222 W Coleman Blvd, Suite 116, Mt Pleasant, SC 29464-3588 | 2015-05-27 |
| 1649671413 | Rebecca J Cavazos Morrow | Psychologist | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2014-09-11 |
| 1629490701 | Kristina Kania Bates | Psychologist | 200 Patewood Dr, Suite A200, Greenville, SC 29615-3593 | 2014-01-09 |
| 1639417157 | Emily Powell Lowell | Psychologist | 9 Richland Medical Park Dr Ste 210, Columbia, SC 29203-6859 | 2013-01-17 |
| Find all providers with the same taxonomy | ||||
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| 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.