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COMPASS CAROLINA HEALTH SYSTEMS PA NPI 1346488251


NPI Information

NPI: 1346488251
Provider Name: COMPASS CAROLINA HEALTH SYSTEMS PA
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

CLIA Number: 42D1107345

Address:
1483 TOBIAS GADSON BLVD STE 201
CHARLESTON, SC
ZIP 29407
Phone: (843) 745-5153
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COMPASS CAROLINA HEALTH SYSTEMS PA is a child and adolescent psychiatry psychiatry neurology in Charleston, SC. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. COMPASS CAROLINA HEALTH SYSTEMS PA NPI is 1346488251. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1483 TOBIAS GADSON BLVD STE 201
CHARLESTON, SC
ZIP 29407-796
Phone: (843) 745-5153
Fax: (843) 766-8606

The provider's authorized official is Scott Segal .
The authorized official title is Ceo/president and has the following contact phone number (888) 852-6672.

The CLIA number assigned to this NPI record is 42D1107345 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2009 and was last updated on 7/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2103TC0700XPsychologistClinicalNo
3103TC2200XPsychologistClinical Child & AdolescentNo
41041C0700XSocial WorkerClinicalNo
5207Q00000XFamily MedicineNo
6207R00000XInternal MedicineNo
72084P0800XPsychiatry & NeurologyPsychiatryNo
82084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes
9363AM0700XPhysician AssistantMedicalNo
10363LF0000XNurse PractitionerFamilyNo
11363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
12364SP0807XClinical Nurse SpecialistPsychiatric/Mental Health, Child & AdolescentNo
13364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, AdultNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.