| Patrick B Harris Psychiatric Hospital | |
|
130 Highway 252 Anderson SC 29621-5054 | |
| (803) 898-8405 | |
| (803) 898-8526 |
| Full Name | Patrick B Harris Psychiatric Hospital |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 130 Highway 252, Anderson, South Carolina |
| Authorized Official Name and Position | Tracy L Turner (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8038984594 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick B Harris Psychiatric Hospital Po Box 485 Columbia SC 29202-0485 Ph: (803) 898-8405 | Patrick B Harris Psychiatric Hospital 130 Highway 252 Anderson SC 29621-5054 Ph: (803) 898-8405 |
| NPI Number | 1376595041 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Medicare PECOS PAC ID | 9032021175 |
|---|---|
| Medicare Enrollment ID | O20031105000630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376595041 | NPI | - | NPPES |
| GP2683 | Medicaid | SC | |
| 461878 | Medicaid | SC |
| Provider Name | Julius G Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811928708 PECOS PAC ID: 4385541473 Enrollment ID: I20031217000185 |
| Provider Name | Madelyn Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225086119 PECOS PAC ID: 6709783806 Enrollment ID: I20031217000279 |
| Provider Name | Renee H Altman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164596656 PECOS PAC ID: 3678467552 Enrollment ID: I20040211000752 |
| Provider Name | Abdalla M Bamashmus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144338401 PECOS PAC ID: 4880584614 Enrollment ID: I20040317000091 |
| Provider Name | William B Walkup |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386619948 PECOS PAC ID: 3678569365 Enrollment ID: I20040420001271 |
| Provider Name | Miroslav Cuturic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093776254 PECOS PAC ID: 6901893718 Enrollment ID: I20040426000963 |
| Provider Name | Donna Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053348672 PECOS PAC ID: 7618965070 Enrollment ID: I20040504000921 |
| Provider Name | Lady M Carr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629029913 PECOS PAC ID: 1254320203 Enrollment ID: I20040506001165 |
| Provider Name | Maria T Yu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285650960 PECOS PAC ID: 7113900333 Enrollment ID: I20040609001016 |
| Provider Name | Stephanie S Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477592178 PECOS PAC ID: 3476537234 Enrollment ID: I20040617000986 |
| Provider Name | Shalini Mittal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538198676 PECOS PAC ID: 7517942048 Enrollment ID: I20040621000312 |
| Provider Name | Balbir S Minhas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033158779 PECOS PAC ID: 8022093566 Enrollment ID: I20040621000354 |
| Provider Name | Christopher G Mazoue |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366406837 PECOS PAC ID: 9537144886 Enrollment ID: I20040621001382 |
| Provider Name | James Maurice Nottingham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396702254 PECOS PAC ID: 9739166497 Enrollment ID: I20040701000541 |
| Provider Name | Nioaka Nicole Campbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083675615 PECOS PAC ID: 2062490824 Enrollment ID: I20040709000214 |
| Provider Name | Ernest Cleage Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437176922 PECOS PAC ID: 3971582909 Enrollment ID: I20040714001227 |
| Provider Name | Frank R Voss |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639133606 PECOS PAC ID: 0042299604 Enrollment ID: I20040716000620 |
| Provider Name | David E Koon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073577037 PECOS PAC ID: 4385624378 Enrollment ID: I20040721000772 |
| Provider Name | Lisa A Cometto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649222779 PECOS PAC ID: 2365412087 Enrollment ID: I20040729001066 |
| Provider Name | Terry A Payton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417973181 PECOS PAC ID: 4486627015 Enrollment ID: I20040812001458 |
| Provider Name | Melissa L Binder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588648489 PECOS PAC ID: 7719954569 Enrollment ID: I20040916000060 |
| Provider Name | Eugenia C Lawton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275596173 PECOS PAC ID: 2769442607 Enrollment ID: I20041014000610 |
| Provider Name | Amy Eileen Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942252473 PECOS PAC ID: 0244290807 Enrollment ID: I20041018000777 |
| Provider Name | Robert J Breen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427019181 PECOS PAC ID: 4688630908 Enrollment ID: I20041208000074 |
| Provider Name | Uday K Doppalapudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679599237 PECOS PAC ID: 5395703862 Enrollment ID: I20041230000095 |
| Provider Name | Rebecca Tummons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053371716 PECOS PAC ID: 9234187519 Enrollment ID: I20050104000757 |
| Provider Name | Michael L Cross |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740290295 PECOS PAC ID: 8022062611 Enrollment ID: I20050307000500 |
| Provider Name | James Emery Claytor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558335281 PECOS PAC ID: 2264471853 Enrollment ID: I20050503000756 |
| Provider Name | Dana Wiley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427006808 PECOS PAC ID: 5799726923 Enrollment ID: I20050519000056 |
| Provider Name | Candiah Thiagarajah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982779922 PECOS PAC ID: 7315974623 Enrollment ID: I20050719000501 |
| Provider Name | Rodolfo Jose Valverde Haeussler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427093764 PECOS PAC ID: 1355379173 Enrollment ID: I20050802000414 |
| Provider Name | Gary B Ewing |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1861451650 PECOS PAC ID: 6507882776 Enrollment ID: I20051017000959 |
| Provider Name | Robert J Ornelas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497860159 PECOS PAC ID: 1759307853 Enrollment ID: I20051018000907 |
| Provider Name | Manuel Fachado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740228394 PECOS PAC ID: 2062426448 Enrollment ID: I20060206000794 |
| Provider Name | Cynthia C Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437138419 PECOS PAC ID: 7113932609 Enrollment ID: I20060221000307 |
| Provider Name | Mayank H Dalal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457384935 PECOS PAC ID: 7517964117 Enrollment ID: I20061024000324 |
| Provider Name | Scott D Christie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578655205 PECOS PAC ID: 3476550245 Enrollment ID: I20061109000105 |
| Provider Name | Ervin D Prewette |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851303200 PECOS PAC ID: 9830197110 Enrollment ID: I20061121000142 |
| Provider Name | David W Hiott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154331619 PECOS PAC ID: 8729089552 Enrollment ID: I20070123000076 |
| Provider Name | Alexander Joseph Mcdonald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760598114 PECOS PAC ID: 6002885183 Enrollment ID: I20070123000098 |
| Provider Name | Rebecca Payne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740379817 PECOS PAC ID: 8224130828 Enrollment ID: I20070228000619 |
| Provider Name | Phyllis Marie Bryant Mobley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902891294 PECOS PAC ID: 8527161835 Enrollment ID: I20070307000055 |
| Provider Name | Marilee C Griswold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821068719 PECOS PAC ID: 2668578667 Enrollment ID: I20070508000684 |
| Provider Name | Jeffrey Raynor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841409760 PECOS PAC ID: 9234225996 Enrollment ID: I20071011000378 |
| Provider Name | Harvey L Causey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730276882 PECOS PAC ID: 6507894722 Enrollment ID: I20080222000278 |
| Provider Name | Allison K Hamada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831304880 PECOS PAC ID: 3678652872 Enrollment ID: I20080429000704 |
| Provider Name | Kathleen A O Leary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366521684 PECOS PAC ID: 5991765083 Enrollment ID: I20080513000446 |
| Provider Name | Kim J Gilmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184810665 PECOS PAC ID: 8022187368 Enrollment ID: I20080513000453 |
| Provider Name | Benjamin A Lanza |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801822283 PECOS PAC ID: 6204858418 Enrollment ID: I20080520000493 |
| Provider Name | Stephanie E Averette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124113170 PECOS PAC ID: 2466489604 Enrollment ID: I20090105000508 |
| Provider Name | Terri Castrinos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134373848 PECOS PAC ID: 5890851414 Enrollment ID: I20090306000219 |
| Provider Name | Kimberly B Rudd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578694147 PECOS PAC ID: 9830247139 Enrollment ID: I20090424000253 |
| Provider Name | Ralph C Pollock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215069034 PECOS PAC ID: 9739231382 Enrollment ID: I20090714000095 |
| Provider Name | Amber Marshall |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336109206 PECOS PAC ID: 8820134125 Enrollment ID: I20090929000675 |
| Provider Name | Fahd A Zarrouf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396867461 PECOS PAC ID: 0244376416 Enrollment ID: I20091002000016 |
| Provider Name | Veronica Slice Wactor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417286949 PECOS PAC ID: 9133263742 Enrollment ID: I20100220000186 |
| Provider Name | Thomas Kickham |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1669434437 PECOS PAC ID: 5597758870 Enrollment ID: I20100303000692 |
| Provider Name | Richard Frierson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003878547 PECOS PAC ID: 6204966658 Enrollment ID: I20100610000668 |
| Provider Name | Theresa Bishop |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659304483 PECOS PAC ID: 0840324653 Enrollment ID: I20100816000817 |
| Provider Name | Brenda Ratliff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346376191 PECOS PAC ID: 9537352646 Enrollment ID: I20101021000832 |
| Provider Name | Don F Mcneel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609860394 PECOS PAC ID: 2769405711 Enrollment ID: I20101026001458 |
| Provider Name | Kim B Edford-davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629269311 PECOS PAC ID: 7315131455 Enrollment ID: I20101102000944 |
| Provider Name | Maria M Modesto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134235336 PECOS PAC ID: 0749380061 Enrollment ID: I20110113000841 |
| Provider Name | Melissa Perez Maceda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326078676 PECOS PAC ID: 7315126034 Enrollment ID: I20110127000543 |
| Provider Name | Craig Andrew Stuck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386604783 PECOS PAC ID: 7416136056 Enrollment ID: I20110127000890 |
| Provider Name | Jimmy Pacheco-perez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487670238 PECOS PAC ID: 8123207727 Enrollment ID: I20110128000351 |
| Provider Name | Barbara M Davenport |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174771844 PECOS PAC ID: 0446211254 Enrollment ID: I20110203000905 |
| Provider Name | Trenten Aristotle Prioleau |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104129790 PECOS PAC ID: 4981887783 Enrollment ID: I20110331000170 |
| Provider Name | Donna S Maddox |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144280066 PECOS PAC ID: 8022294412 Enrollment ID: I20110519000497 |
| Provider Name | Aleta Marie Mcgough |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114127826 PECOS PAC ID: 8224215082 Enrollment ID: I20110602000553 |
| Provider Name | Dale Eugene Marko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750470019 PECOS PAC ID: 9133397235 Enrollment ID: I20110715000230 |
| Provider Name | Michael J Ferlauto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508996281 PECOS PAC ID: 7214983378 Enrollment ID: I20110913000839 |
| Provider Name | Gregory Grabowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487874699 PECOS PAC ID: 0446421101 Enrollment ID: I20110929000323 |
| Provider Name | Juliet A Glover |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1609073014 PECOS PAC ID: 4789856105 Enrollment ID: I20111007000219 |
| Provider Name | Gariane P Gunter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386774974 PECOS PAC ID: 1658544309 Enrollment ID: I20111025000908 |
| Provider Name | Shannon Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801080619 PECOS PAC ID: 0345413837 Enrollment ID: I20111027000980 |
| Provider Name | Sandra G Dickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568495802 PECOS PAC ID: 4284808734 Enrollment ID: I20111117000644 |
| Provider Name | Ngozi Nnadi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063504678 PECOS PAC ID: 3173798378 Enrollment ID: I20111219000012 |
| Provider Name | Margaret E Rittenbury |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700833274 PECOS PAC ID: 6204002983 Enrollment ID: I20111230000028 |
| Provider Name | Philip C Bowman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639291669 PECOS PAC ID: 6901865518 Enrollment ID: I20120329000267 |
| Provider Name | Gregory E Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023063377 PECOS PAC ID: 3779570957 Enrollment ID: I20120410000672 |
| Provider Name | Jacqueline M Mintz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124258967 PECOS PAC ID: 7517122096 Enrollment ID: I20120709000085 |
| Provider Name | Kelly Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104899483 PECOS PAC ID: 6709896194 Enrollment ID: I20130129000628 |
| Provider Name | Shilpy Kadian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760619654 PECOS PAC ID: 9436303732 Enrollment ID: I20130214000535 |
| Provider Name | Rose M Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568588747 PECOS PAC ID: 5496900656 Enrollment ID: I20130220000065 |
| Provider Name | Wendy Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578603338 PECOS PAC ID: 0345489068 Enrollment ID: I20130610000407 |
| Provider Name | Taralkumar R Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710121009 PECOS PAC ID: 0244473734 Enrollment ID: I20130903000199 |
| Provider Name | Lisa Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497187744 PECOS PAC ID: 8820222516 Enrollment ID: I20131011001474 |
| Provider Name | Joseph M Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003155755 PECOS PAC ID: 3072749795 Enrollment ID: I20131202000085 |
| Provider Name | Janice Waldstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760474803 PECOS PAC ID: 5395833297 Enrollment ID: I20140407000987 |
| Provider Name | Zachary D Zuschlag |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649533019 PECOS PAC ID: 0648494013 Enrollment ID: I20140605001296 |
| Provider Name | James B Jackson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912165234 PECOS PAC ID: 2860626165 Enrollment ID: I20141015002485 |
| Provider Name | Brandi D Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699085126 PECOS PAC ID: 5395967285 Enrollment ID: I20141110000131 |
| Provider Name | Rosalyn Beatrice Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053361063 PECOS PAC ID: 3870569957 Enrollment ID: I20150311002658 |
| Provider Name | Laketa D Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003208729 PECOS PAC ID: 9234458555 Enrollment ID: I20150507000749 |
| Provider Name | Violeta Nistor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265750277 PECOS PAC ID: 6204157654 Enrollment ID: I20150610001447 |
| Provider Name | Queen J Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326148453 PECOS PAC ID: 7214240704 Enrollment ID: I20150713001477 |
| Provider Name | Sarah S Kuhn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972814911 PECOS PAC ID: 4981910833 Enrollment ID: I20150909000004 |
| Provider Name | Amanda T Roten |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235366998 PECOS PAC ID: 7911215108 Enrollment ID: I20151008001093 |
| Provider Name | Amanda P Roper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790079770 PECOS PAC ID: 8325357064 Enrollment ID: I20151021000655 |
| Provider Name | Mitul Ashok Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942563952 PECOS PAC ID: 0345550968 Enrollment ID: I20151111002353 |
| Provider Name | Petra Lee Sheba Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154791259 PECOS PAC ID: 8527369230 Enrollment ID: I20151223000112 |
| Provider Name | Shannon Jean Sozzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538578232 PECOS PAC ID: 1456654235 Enrollment ID: I20160128001639 |
| Provider Name | Hector Diaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407818081 PECOS PAC ID: 0941102594 Enrollment ID: I20160321000018 |
| Provider Name | Rushiraj Chaitanya Laiwala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497985303 PECOS PAC ID: 6002063757 Enrollment ID: I20160721002303 |
| Provider Name | Melissa Gambrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821492869 PECOS PAC ID: 3274853072 Enrollment ID: I20160810001717 |
| Provider Name | Karen F Swaim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407969538 PECOS PAC ID: 5395039515 Enrollment ID: I20160811001018 |
| Provider Name | Jennifer E Alleyne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659660736 PECOS PAC ID: 1759513013 Enrollment ID: I20160921002638 |
| Provider Name | Brittany B Albright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265796726 PECOS PAC ID: 3779737945 Enrollment ID: I20161004000374 |
| Provider Name | Brittany R Peters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841463163 PECOS PAC ID: 3577841733 Enrollment ID: I20161024001478 |
| Provider Name | Fransetta L Sterling |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306285556 PECOS PAC ID: 1254612633 Enrollment ID: I20161222000832 |
| Provider Name | Lisa Bush Bostic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568877488 PECOS PAC ID: 6103045257 Enrollment ID: I20170214000448 |
| Provider Name | Joshua C Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851706980 PECOS PAC ID: 2961729611 Enrollment ID: I20170418001723 |
| Provider Name | Edward T Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831450774 PECOS PAC ID: 3779872536 Enrollment ID: I20170626001121 |
| Provider Name | Urvi Rohitkumar Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053759332 PECOS PAC ID: 6406129436 Enrollment ID: I20170913001435 |
| Provider Name | Emily Jones Cullen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598026601 PECOS PAC ID: 9537458617 Enrollment ID: I20170925002286 |
| Provider Name | Stephanie Sapna Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942561816 PECOS PAC ID: 2668747403 Enrollment ID: I20171004003365 |
| Provider Name | Kaitlin M Sanzone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568801314 PECOS PAC ID: 1557637907 Enrollment ID: I20171030002519 |
| Provider Name | Bouchra Koussih |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659815454 PECOS PAC ID: 1456618107 Enrollment ID: I20171205001318 |
| Provider Name | Dale K Adair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861506321 PECOS PAC ID: 6709890494 Enrollment ID: I20171205001592 |
| Provider Name | Surbhi Khanna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124361662 PECOS PAC ID: 8426287293 Enrollment ID: I20171218000331 |
| Provider Name | Elizabeth L Baker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447409735 PECOS PAC ID: 7618237215 Enrollment ID: I20180130001186 |
| Provider Name | Elizabeth A Burguieres |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104266741 PECOS PAC ID: 7810130739 Enrollment ID: I20180323001455 |
| Provider Name | Mark Duane Kilgus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093771107 PECOS PAC ID: 4486613346 Enrollment ID: I20180413001960 |
| Provider Name | Luz E Pacheco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548503253 PECOS PAC ID: 9234456849 Enrollment ID: I20180814003466 |
| Provider Name | Kathryn Mills Hollins Lizarribar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568875458 PECOS PAC ID: 5597078808 Enrollment ID: I20180905000264 |
| Provider Name | Jaclyn Leigh Sligar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942613278 PECOS PAC ID: 0244579126 Enrollment ID: I20190312001045 |
| Provider Name | Douglas M Brandt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487742243 PECOS PAC ID: 5597845610 Enrollment ID: I20190410002778 |
| Provider Name | Alton Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396150751 PECOS PAC ID: 2860792421 Enrollment ID: I20190430002672 |
| Provider Name | Xavier W Belcher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245525674 PECOS PAC ID: 1557670817 Enrollment ID: I20190628001592 |
| Provider Name | Jared Williams Atkinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629424114 PECOS PAC ID: 4587955893 Enrollment ID: I20190703000287 |
| Provider Name | Kendrick Maurice James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538522560 PECOS PAC ID: 3870829278 Enrollment ID: I20190723002334 |
| Provider Name | Katelin Jean Williamson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477967859 PECOS PAC ID: 1850627530 Enrollment ID: I20190802000287 |
| Provider Name | David M Allen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659768620 PECOS PAC ID: 4385934017 Enrollment ID: I20190924000689 |
| Provider Name | Stephanie H Hrisko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609280130 PECOS PAC ID: 1658667662 Enrollment ID: I20191015002778 |
| Provider Name | Lovinda Iwhere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760709612 PECOS PAC ID: 4183872500 Enrollment ID: I20191030001197 |
| Provider Name | Margaret Rukstalis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649629619 PECOS PAC ID: 1254628860 Enrollment ID: I20191115002178 |
| Provider Name | Alexandra L Dodd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902330277 PECOS PAC ID: 7012280506 Enrollment ID: I20191216001565 |
| Provider Name | Stephanie M Le |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699113720 PECOS PAC ID: 8921394933 Enrollment ID: I20200127001727 |
| Provider Name | Luke Nankee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518496926 PECOS PAC ID: 5496020075 Enrollment ID: I20200204001851 |
| Provider Name | Shalika W Guram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174904346 PECOS PAC ID: 9638468390 Enrollment ID: I20200206000573 |
| Provider Name | Steven L Singer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639212913 PECOS PAC ID: 8224000872 Enrollment ID: I20200429000281 |
| Provider Name | Eva Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326035890 PECOS PAC ID: 5890911721 Enrollment ID: I20200521002085 |
| Provider Name | Benjamin David Potter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821382748 PECOS PAC ID: 8527357698 Enrollment ID: I20200601003001 |
| Provider Name | Matthew W Mubarak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174978605 PECOS PAC ID: 1456647577 Enrollment ID: I20200831002759 |
| Provider Name | Erlinda P Mercado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790898278 PECOS PAC ID: 0446216782 Enrollment ID: I20210203001378 |
| Provider Name | Monica Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073946307 PECOS PAC ID: 5890101018 Enrollment ID: I20210311002585 |
| Provider Name | Christine Doris Sawhill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134613698 PECOS PAC ID: 4385994631 Enrollment ID: I20210420000702 |
| Provider Name | Zaixiao Zhang |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1417073453 PECOS PAC ID: 1254733983 Enrollment ID: I20210716001800 |
| Provider Name | Sarah Elizabeth Padgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194399543 PECOS PAC ID: 0648673533 Enrollment ID: I20210729003251 |
| Provider Name | Ellyn Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760703904 PECOS PAC ID: 2860632767 Enrollment ID: I20211202000008 |
| Provider Name | Rekha S Prasad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164480745 PECOS PAC ID: 1658353396 Enrollment ID: I20220614002517 |
| Provider Name | Nitin Kamble |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811214737 PECOS PAC ID: 9436456142 Enrollment ID: I20221230000542 |
| Provider Name | Ryan Douglas Rode |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750949731 PECOS PAC ID: 5698992980 Enrollment ID: I20240611001547 |
Brie Childress, Lisw-cp, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Lane Ave, Anderson, SC 29621 Phone: 864-359-8888 | |
Anderson Psychiatry And Psychotherapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Fant St, Suite D, Anderson, SC 29621 Phone: 864-226-1166 Fax: 864-226-5647 | |
Common Ground Therapeutic And Coaching Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2105 N Main St Ste D, Anderson, SC 29621 Phone: 864-634-0930 Fax: 864-900-0248 | |
Life Options, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 Fairmont Rd, Anderson, SC 29621 Phone: 704-763-9711 | |
Impact Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Mcgee Rd, Anderson, SC 29625 Phone: 864-260-5632 Fax: 864-260-5664 | |
Connections Counseling Center Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 110 Calvary Home Cir, Anderson, SC 29621 Phone: 864-328-5187 | |
Carolina Neurology & Neuroimaging Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 111 Shire Dr, Anderson, SC 29621 Phone: 864-716-2600 Fax: 864-716-2666 |