| Future Psych Solutions, Llc | |
|
1911 Gadsden St Ste 101 Columbia SC 29201-6400 | |
| (803) 851-0642 | |
| (844) 617-1550 |
| Full Name | Future Psych Solutions, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1911 Gadsden St Ste 101, Columbia, South Carolina |
| Authorized Official Name and Position | Don A Dubose (CEO, MEDICAL DIRECTOR) |
| Authorized Official Contact | 8038510642 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Future Psych Solutions, Llc 1911 Gadsden St. Suite 101 Columbia SC 29201 Ph: (803) 851-0642 | Future Psych Solutions, Llc 1911 Gadsden St Ste 101 Columbia SC 29201-6400 Ph: (803) 851-0642 |
| NPI Number | 1134595200 |
|---|---|
| Provider Enumeration Date | 08/12/2015 |
| Last Update Date | 02/17/2022 |
| Certification Date | 02/17/2022 |
| Medicare PECOS PAC ID | 5395055685 |
|---|---|
| Medicare Enrollment ID | O20151117003043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134595200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ayanna Swinton Jamison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053359851 PECOS PAC ID: 2163445735 Enrollment ID: I20060110000298 |
| Provider Name | Don A Dubose |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1336313329 PECOS PAC ID: 1557595220 Enrollment ID: I20131011000866 |
| Provider Name | Angela D Olsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881982544 PECOS PAC ID: 3577664853 Enrollment ID: I20150709000018 |
| Provider Name | Debra A Bjork |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033429568 PECOS PAC ID: 5991009730 Enrollment ID: I20160215001945 |
| Provider Name | Tara Davis-boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033749643 PECOS PAC ID: 9335578384 Enrollment ID: I20200326003177 |
| Provider Name | Katherine Kristian Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356729693 PECOS PAC ID: 9638556954 Enrollment ID: I20220506000463 |
| Provider Name | Holly Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265935159 PECOS PAC ID: 3173953312 Enrollment ID: I20220523001564 |
| Provider Name | Rupal Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083337745 PECOS PAC ID: 9335500446 Enrollment ID: I20230804000670 |
| Provider Name | Scott Michael Pomicter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801227855 PECOS PAC ID: 8022462860 Enrollment ID: I20230927001436 |
| Provider Name | Monica Monique Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053029512 PECOS PAC ID: 4688014301 Enrollment ID: I20240429002275 |
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