| Carolina Psychiatric Services, Inc | |
|
160 Medical Cir First Floor West Columbia SC 29169-3656 | |
| (803) 796-6811 | |
| (803) 796-6851 |
| Full Name | Carolina Psychiatric Services, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 160 Medical Cir, West Columbia, South Carolina |
| Authorized Official Name and Position | Cynthia Marie Hunt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8037966811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Psychiatric Services, Inc 160 Medical Cir First Floor West Columbia SC 29169-3656 Ph: (803) 796-6811 | Carolina Psychiatric Services, Inc 160 Medical Cir First Floor West Columbia SC 29169-3656 Ph: (803) 796-6811 |
| NPI Number | 1326115031 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 10/30/2013 |
| Medicare PECOS PAC ID | 5991792046 |
|---|---|
| Medicare Enrollment ID | O20040429000613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326115031 | NPI | - | NPPES |
| Provider Name | Robert J Ornelas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497860159 PECOS PAC ID: 1759307853 Enrollment ID: I20051018000907 |
| Provider Name | Ashton Mcclary Carrigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396830717 PECOS PAC ID: 4284826462 Enrollment ID: I20101006000409 |
| Provider Name | Penni A Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912064379 PECOS PAC ID: 9537345475 Enrollment ID: I20110511000104 |
| Provider Name | Mark Charles Feinstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033176755 PECOS PAC ID: 1456253517 Enrollment ID: I20111208000731 |
| Provider Name | Susan W Taylor |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1639265275 PECOS PAC ID: 6608042999 Enrollment ID: I20120109000638 |
| Provider Name | Shannon Taylor Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205921764 PECOS PAC ID: 1951560952 Enrollment ID: I20120312000196 |
| Provider Name | Carl O Kinard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801981352 PECOS PAC ID: 5496916033 Enrollment ID: I20120409000349 |
| Provider Name | Brittany Schafer Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780996280 PECOS PAC ID: 9638452311 Enrollment ID: I20170202001710 |
| Provider Name | Crystal Newkirk Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235417775 PECOS PAC ID: 5092024448 Enrollment ID: I20221103003034 |
| Provider Name | David Sloan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982114823 PECOS PAC ID: 4183073158 Enrollment ID: I20231215002124 |
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