| Che Behavioral Health Services Of South Carolina, P.c. | |
|
220 N Main St Ste 500 Greenville SC 29601-2129 | |
| (888) 515-3834 | |
| Not Available |
| Full Name | Che Behavioral Health Services Of South Carolina, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 220 N Main St Ste 500, Greenville, South Carolina |
| Authorized Official Name and Position | Scott Gordon (OWNER) |
| Authorized Official Contact | 8885153843 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Che Behavioral Health Services Of South Carolina, P.c. Po Box 67084 Newark NJ 07101-8083 Ph: (888) 515-3834 | Che Behavioral Health Services Of South Carolina, P.c. 220 N Main St Ste 500 Greenville SC 29601-2129 Ph: (888) 515-3834 |
| NPI Number | 1568048833 |
|---|---|
| Provider Enumeration Date | 03/18/2021 |
| Last Update Date | 11/10/2022 |
| Certification Date | 11/10/2022 |
| Medicare PECOS PAC ID | 1759780380 |
|---|---|
| Medicare Enrollment ID | O20210601001981 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568048833 | NPI | - | NPPES |
| Provider Name | Cassandra B Sims |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952359481 PECOS PAC ID: 9032186549 Enrollment ID: I20040914000872 |
| Provider Name | Wanda Sexton Samake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063561876 PECOS PAC ID: 1850349036 Enrollment ID: I20050104000854 |
| Provider Name | Dana Wiley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427006808 PECOS PAC ID: 5799726923 Enrollment ID: I20050519000056 |
| Provider Name | Vanessa Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508839739 PECOS PAC ID: 0244249001 Enrollment ID: I20060406000489 |
| Provider Name | Jill Corrigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700834017 PECOS PAC ID: 6204834864 Enrollment ID: I20061116000094 |
| Provider Name | Amy J Duppstadt-delambo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740330299 PECOS PAC ID: 6608877626 Enrollment ID: I20070118000090 |
| Provider Name | Robert C Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730274713 PECOS PAC ID: 7618123944 Enrollment ID: I20120801000966 |
| Provider Name | Robert C Glenn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902033210 PECOS PAC ID: 9335328467 Enrollment ID: I20130205000592 |
| Provider Name | Joseph M Ritchey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598178402 PECOS PAC ID: 8022235589 Enrollment ID: I20140807001237 |
| Provider Name | Syreeta Miller Dendy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043754005 PECOS PAC ID: 4880961465 Enrollment ID: I20170602000737 |
| Provider Name | Kristy Lagina Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124568514 PECOS PAC ID: 3577837376 Enrollment ID: I20170918001834 |
| Provider Name | Christine M Delcioppo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215440169 PECOS PAC ID: 1355601832 Enrollment ID: I20180302000472 |
| Provider Name | Patricia T Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578062584 PECOS PAC ID: 5698037786 Enrollment ID: I20180330000407 |
| Provider Name | Douglas M Brandt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487742243 PECOS PAC ID: 5597845610 Enrollment ID: I20190410002778 |
| Provider Name | Jared Williams Atkinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629424114 PECOS PAC ID: 4587955893 Enrollment ID: I20190703000287 |
| Provider Name | Nancy Hauck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730141490 PECOS PAC ID: 4880852730 Enrollment ID: I20191106000619 |
| Provider Name | Ebony Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346771318 PECOS PAC ID: 6800128588 Enrollment ID: I20191211000520 |
| Provider Name | Catherine King Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417595455 PECOS PAC ID: 8628408481 Enrollment ID: I20200417001412 |
| Provider Name | Eileen M Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699316331 PECOS PAC ID: 4183056997 Enrollment ID: I20210123000156 |
| Provider Name | Lateasha Lakira Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730799800 PECOS PAC ID: 4486062759 Enrollment ID: I20210427000175 |
| Provider Name | Scott Moore Gordon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821038159 PECOS PAC ID: 5799715413 Enrollment ID: I20210604000171 |
| Provider Name | Elysa C Maunder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730770314 PECOS PAC ID: 7416359245 Enrollment ID: I20210715002017 |
| Provider Name | Latasha Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700548831 PECOS PAC ID: 8628467016 Enrollment ID: I20211104002028 |
| Provider Name | Arnold R Spokane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558583278 PECOS PAC ID: 5698164770 Enrollment ID: I20211110002795 |
| Provider Name | Altagracia Santana-pichardo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124268446 PECOS PAC ID: 5799912093 Enrollment ID: I20211118000601 |
| Provider Name | Angela Louise Rodiek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265073209 PECOS PAC ID: 3072940097 Enrollment ID: I20211222000650 |
| Provider Name | Jenna Fabrizio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245804673 PECOS PAC ID: 1557768942 Enrollment ID: I20220408001843 |
| Provider Name | Dana Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285257584 PECOS PAC ID: 8426440074 Enrollment ID: I20220502000622 |
| Provider Name | Brooklyn Milner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346995248 PECOS PAC ID: 3779964408 Enrollment ID: I20220713000652 |
| Provider Name | Ayo Gathing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073798849 PECOS PAC ID: 2163580325 Enrollment ID: I20220830001434 |
| Provider Name | Hilary B Puzak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659004927 PECOS PAC ID: 7113394974 Enrollment ID: I20221108000667 |
| Provider Name | Chinenye Loveth Chukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376275222 PECOS PAC ID: 0446627095 Enrollment ID: I20221110001713 |
| Provider Name | Kelly Gregory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891927323 PECOS PAC ID: 8820136617 Enrollment ID: I20230109002385 |
| Provider Name | Sakeisha Magee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548727787 PECOS PAC ID: 8628302833 Enrollment ID: I20230705002984 |
| Provider Name | Daisy Jane Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831854629 PECOS PAC ID: 5294914727 Enrollment ID: I20230814003621 |
| Provider Name | Megen Christina Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164296232 PECOS PAC ID: 5991153694 Enrollment ID: I20231117002438 |
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