| Barrier Islands Psychiatry P A | |
|
1616 Ashley River Rd Charleston SC 29407-5902 | |
| (843) 556-8177 | |
| (843) 571-2742 |
| Full Name | Barrier Islands Psychiatry P A |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1616 Ashley River Rd, Charleston, South Carolina |
| Authorized Official Name and Position | Constance J. Alexander (OWNER) |
| Authorized Official Contact | 8435568177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barrier Islands Psychiatry P A 1620 Ashley River Rd Charleston SC 29407-5983 Ph: (843) 556-8177 | Barrier Islands Psychiatry P A 1616 Ashley River Rd Charleston SC 29407-5902 Ph: (843) 556-8177 |
| NPI Number | 1952517229 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Medicare PECOS PAC ID | 0840388930 |
|---|---|
| Medicare Enrollment ID | O20071127000379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952517229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 22098 (South Carolina) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1981 (South Carolina) | Secondary |
| Provider Name | Harriett W Grady-thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649249194 PECOS PAC ID: 4486696002 Enrollment ID: I20050524001052 |
| Provider Name | Constance J Alexander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760493977 PECOS PAC ID: 2163445560 Enrollment ID: I20060112000024 |
| Provider Name | Julia J Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295974616 PECOS PAC ID: 5698934933 Enrollment ID: I20120306000928 |
| Provider Name | Jennifer Hayes |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1396202180 PECOS PAC ID: 4284040262 Enrollment ID: I20210317002131 |
| Provider Name | Stephen Boice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386029338 PECOS PAC ID: 1052766458 Enrollment ID: I20231004002301 |
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