PETER TUERK (NPI# 1982819538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982819538 |
| Entity Type | Individual |
| Full Name | PETER TUERK |
| Credential | M.A. |
| Practice Address |
109 Bee St. Charleston SC 29401-5799 |
| Mailing Address |
81 Ashley Ave Apt B Charleston SC 29401-1287 |
| Practice Telephone | 8435775011 |
| Mailing Telephone | 4344093901 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 54202 | 05 |
| Street Address |
109 BEE ST. |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29401-5799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730116021 | Gearin Elizabeth Broderick | Specialist | 109 Bee St., Charleston, SC 29401 | 2006-06-26 |
| 1528517711 | Ralph H. Johnson Va Medical Center | Military Hospital | 109 Bee St., Charleston, SC 29401 | 2016-09-28 |
| 1275630600 | Michael David Horner | Clinical Neuropsychologist | 109 Bee St., Mental Health (116), Vamc, Charleston, SC 29401-5799 | 2006-09-20 |
| 1770516163 | David Mark Countryman | Surgery | 109 Bee St., Dept of Surgery (112) Charleston Va Medical Center, Charleston, SC 29401 | 2006-07-08 |
| 1619909785 | Zhewu J Wang | Psychiatry & Neurology | 109 Bee St., Charleston, SC 29401 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162873 | Jonathan Hayes | Registered Nurse | 109 Bee St. Ralph H. Johnson Vamc, Charleston, SC 29401 | 2017-09-05 |
| 1659724904 | M & M Lineberger Dds Ms Pa | Dentist | 347 N. Caswell, Charlotte, NC 29401 | 2016-07-21 |
| 1619375185 | Zach Adams | Specialist/Technologist | 301 Meeting Street, Charleston, SC 29401 | 2014-12-15 |
| 1528469723 | Linda Graber | Occupational Therapist | 75 Calhoun Street, Charleston County Schools, Charleston, SC 29401 | 2014-09-08 |
| 1427497858 | Erika Lynn Wilson | Mechanotherapist | 310 King Street, Charleston, SC 29401 | 2013-06-19 |
| 1730525460 | Mary Beth Hill | Psychologist | 75 Cahoun Street, Charleston, SC 29401 | 2013-05-21 |
| 1699019810 | Chs Psychiatric Associates LLC | Psychiatric Hospital | 255 King Street #8, Charleston, SC 29401 | 2012-11-15 |
| 1255681581 | Parul Olivia Earley | Pharmacist | 59 George St., Charleston, SC 29401 | 2012-09-13 |
| 1669760815 | Dana Leigh Chiulli | Pharmacist | 109 Bee Street (119), Charleston, SC 29401 | 2011-07-20 |
| 1295028959 | Kathleen Anne Waters | Nurse Practitioner | Charleston Center, 5 Charleston Center Drive, Charleston, SC 29401 | 2011-05-26 |
| Find all providers in zip 29401 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437363330 | Joshua Gordon Chinitz | Psychologist | 1578 Dowden Ct, Charleston, SC 29407-5011 | 2007-05-09 |
| 1700947751 | Shannon S Doughty | Psychologist | 1902 Old Parsonage Rd, Charleston, SC 29414-6205 | 2006-12-13 |
| 1366726515 | Kirstin Gros | Psychologist | 109 Bee St, Ralph H Johnson Vamc, Mental Health Service Line 116, Charleston, SC 29401-5703 | 2011-10-06 |
| 1841525730 | Preferred Psychological Solutions, Pllc | Psychologist | 1116 Smith St, Suite 207, Charleston, WV 25301-1314 | 2009-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750810214 | Jenice Ivette Green | Psychologist | 801 Oakwood St Apt 6g, Bennettsville, SC 29512-2465 | 2017-06-08 |
| 1770948457 | Lorraine Tavarez Lopez | Psychologist | 1 Windsor Cv Ste 404, Columbia, SC 29223-1833 | 2015-12-22 |
| 1265847255 | Tracy Redfearn Inc. | Psychologist | 702b W Carolina Ave, Hartsville, SC 29550-4412 | 2014-06-27 |
| 1356604466 | Brittany Moree Rudy | Psychologist | 127 W Antrim Dr, Greenville, SC 29607-2505 | 2012-06-22 |
| 1376847483 | Susan Kreh Beck | Psychologist | 304 Firebridge Rd, Columbia, SC 29223-5122 | 2011-01-04 |
| 1710215520 | James Reid | Psychologist | 670 Blvd De France, Parris Island, SC 29905 | 2009-12-07 |
| 1710212196 | Tabitha Delaina Ball | Psychologist | 1199 Chivalry St, Sumter, SC 29154-7412 | 2009-10-02 |
| 1346410446 | William Harrison Wells | Psychologist | 1665 Herlong Ct Ste B, Rock Hill, SC 29732-1193 | 2008-03-04 |
| 1164692497 | Michael Gene Dodson | Psychologist | 145 Veranda Lane, Aiken, SC 29803-4907 | 2008-03-03 |
| 1174740625 | David Silas Green | Psychologist | 1016 Vaucluse Road, Aiken, SC 29801 | 2007-04-19 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 29401 |
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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.