SOUTH CAROLINA DEPT OF MENTAL HEALTH (NPI# 1932124096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932124096 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA DEPT OF MENTAL HEALTH |
| Other Organization Name | DIRECTIONS |
| Practice Address |
1800 Colonial Dr Columbia SC 29203-6827 |
| Mailing Address |
Po Box 485 Columbia SC 29202-0485 |
| Practice Telephone | 8038988405 |
| Mailing Telephone | 8038988405 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2009-06-08 |
| Authorized Official Name | DR. RONALD E PRIER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8038984802 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH CAROLINA DEPT OF MENTAL HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | RTC008 | SC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RTF011 | 05 |
| Other Name | Type Code |
|---|---|
| Directions | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154596104 | South Carolina Dept of Mental Health | Podiatrist | 2414 Bull St, Columbia, SC 29201-1906 | 2008-04-29 |
| 1568631695 | South Carolina Dept of Mental Health | Durable Medical Equipment & Medical Supplies | 2200 Harden St, Columbia, SC 29203-7107 | 2008-02-22 |
| 1336324482 | South Carolina Dept of Mental Health | Counselor | 200 Mcgee Rd, Anderson, SC 29625-2104 | 2008-01-08 |
| 1326090812 | South Carolina Dept of Mental Health | General Acute Care Hospital | 610 Faison Dr, Columbia, SC 29203-3218 | 2006-05-16 |
| Street Address |
1800 COLONIAL DR |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124058458 | Deepa Sobti | Psychiatry & Neurology | 1800 Colonial Dr, Columbia, SC 29203-6827 | 2006-07-03 |
| 1750780615 | Brooke Barr | Student in an Organized Health Care Education/Training Program | 1800 Colonial Dr, Columbia, SC 29203-6827 | 2014-08-17 |
| 1730591546 | Kristin Dixon | Social Worker | 1800 Colonial Dr, Columbia, SC 29203-6827 | 2014-05-28 |
| 1316368103 | Yolanda Rhodes | Registered Nurse | 1800 Colonial Dr, Cottage C, Columbia, SC 29203-6827 | 2013-12-20 |
| 1538405063 | Laurrinda H Saxon | Counselor | 1800 Colonial Dr, Cottage C/ Adult Clinicail Services, Columbia, SC 29203-6827 | 2013-01-03 |
| 1134486871 | Betty Jean Armel | Registered Nurse | 1800 Colonial Dr, Cottages B & C, Columbia, SC 29203-6827 | 2012-04-19 |
| 1811220569 | Columbia Area Mental Health | Community Based Residential Treatment Facility, Mental Illness | 1800 Colonial Dr, Columbia, SC 29203-6827 | 2009-09-14 |
| 1104060581 | Sharon W Moody | Counselor | 1800 Colonial Dr, Columbia, SC 29203-6827 | 2009-04-29 |
| 1669615191 | Katherine Marie Baughman | Counselor | 1800 Colonial Dr, Columbia, SC 29203-6827 | 2009-04-14 |
| 1669627519 | Michael Lawrence Floyd | Social Worker | 1800 Colonial Dr, William S. Hall Psychiatric Institute Cottage C, Columbia, SC 29203-6827 | 2008-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205175452 | S.c Department of Juvenile Justice | Residential Treatment Facility, Emotionally Disturbed Children | 2112 Chandler Ave, Columbia, SC 29210-6204 | 2013-02-07 |
| 1083755615 | South Carolina Department of Juvenile Justice | Residential Treatment Facility, Emotionally Disturbed Children | 1600 Shivers Rd, Columbia, SC 29210-5429 | 2007-02-08 |
| 1194866723 | South Carolina Department of Juvenile Justice | Residential Treatment Facility, Emotionally Disturbed Children | 1741 Shivers Rd, Columbia, SC 29210-5413 | 2007-02-08 |
| 1710027644 | South Carolina Department of Juvenile Justice | Residential Treatment Facility, Emotionally Disturbed Children | 5300 Broad River Rd, Columbia, SC 29212-3539 | 2007-02-08 |
| 1093853822 | Lutheran Family Services In The Carolinas | Residential Treatment Facility, Emotionally Disturbed Children | 1440 Broad River Rd, Columbia, SC 29210-7643 | 2007-02-02 |
| 1124164355 | Lutheran Family Services In The Carolinas | Residential Treatment Facility, Emotionally Disturbed Children | 4230 Timberlane Dr, Columbia, SC 29205-4941 | 2007-01-29 |
| 1215073440 | Lutheran Family Services In The Carolinas | Residential Treatment Facility, Emotionally Disturbed Children | 4240 Timberlane Dr, Columbia, SC 29205-4941 | 2007-01-29 |
| 1801942511 | Lutheran Family Services In The Carolinas | Residential Treatment Facility, Emotionally Disturbed Children | 4210 Mikell Ln, Columbia, SC 29205-4225 | 2007-01-26 |
| 1851349567 | Carolina Boys Home Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1303 Sycamore Ave, Columbia, SC 29203-4252 | 2006-05-05 |
| 1639415920 | Individual | Residential Treatment Facility, Emotionally Disturbed Children | 1725 Shivers Rd, Columbia, SC 29210-5413 | 2012-12-14 |
| Find all providers in COLUMBIA | ||||
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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.