ELIZABETH C. GRUENEBERGER (NPI# 1679930184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679930184 |
| Entity Type | Organization |
| Organization Name | ELIZABETH C. GRUENEBERGER |
| Other Organization Name | TIDEHAVEN HEALTH |
| Practice Address |
519 Live Oak Dr Mount Pleasant SC 29464-4365 |
| Practice Telephone | 8439718808 |
| Practice Fax Number | 8439719636 |
| Mailing Telephone | 8439718808 |
| Mailing Fax Number | 8439719636 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |
| Authorized Official Name | DR. ELIZABETH C GRUENEBERGER (OWNER) |
| Authorized Official Telephone | 8439718808 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
31920 | SC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Tidehaven Health | Doing Business As Name - Organization |
| Street Address |
519 LIVE OAK DR |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29464-4365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083629927 | Belynda Dunn Veser | Psychiatry & Neurology | 109 Physicians Dr Ste B, Greer, SC 29650-2446 | 2006-07-29 |
| 1750803243 | Coastal House Calls | Psychiatry & Neurology | 671 Jamestown Dr Ste 203, Murrells Inlet, SC 29576-7507 | 2017-07-17 |
| 1104145184 | Table Rock Integrated Health and Wellness Practice, LLC. | Psychiatry & Neurology | 5 Center St, Travelers Rest, SC 29690-1826 | 2010-05-31 |
| 1497985303 | Rushiraj Chaitanya Laiwala | Psychiatry & Neurology | 2200 Harden St, Columbia, SC 29203 | 2009-07-27 |
| 1043393051 | Gretchen Stephanie Enright | Psychiatry & Neurology | 1 Havenwood Ln, Travelers Rest, SC 29690-9447 | 2006-10-23 |
| 1376631614 | Mary Hart Bryan | Psychiatry & Neurology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-10-11 |
| 1407959349 | Lynn Hunter Hackett | Psychiatry & Neurology | 6439 Garners Ferry Road, Wjb Dorn Va Medical Center, Columbia, SC 29209 | 2006-09-06 |
| 1801860515 | Angela Dauby Harper | Psychiatry & Neurology | 1415 Blanding St, Suite 4, Columbia, SC 29201-2922 | 2006-02-17 |
| City | MOUNT PLEASANT |
| Zip Code | 29464 |
Please comment or provide details below to improve the information on ELIZABETH C. GRUENEBERGER.
| 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.