FAMILY MEDICINE & PSYCHIATRY OF THE CAROLINAS AT ROCK HILL PC NPI 1578772976

NPI Information

NPI: 1578772976
Provider Name: FAMILY MEDICINE & PSYCHIATRY OF THE CAROLINAS AT ROCK HILL PC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1420 EBENEZER RD
SUITE 105
ROCK HILL, SC
ZIP 29732
Phone: (803) 324-7792
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FAMILY MEDICINE & PSYCHIATRY OF THE CAROLINAS AT ROCK HILL PC is a professional counselor in Rock Hill, SC. FAMILY MEDICINE & PSYCHIATRY OF THE CAROLINAS AT ROCK HILL PC NPI is 1578772976. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1420 EBENEZER RD
SUITE 105
ROCK HILL, SC
ZIP 29732-743
Phone: (803) 324-7792
Fax: (803) 981-7792

The provider's authorized official is Daniel N Pistone .
The authorized official title is Owner and has the following contact phone number (803) 324-7792.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	2837	SOUTH CAROLINA	Yes
2	1041C0700X	Social Worker	Clinical	6904	SOUTH CAROLINA	X
3	106H00000X	Marriage & Family Therapist		2600	SOUTH CAROLINA	X
4	2084P0015X	Psychiatry & Neurology	Psychosomatic Medicine	26858	SOUTH CAROLINA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GP4324	MEDICAID	SOUTH CAROLINA
2	5903330	MEDICAID	NORTH CAROLINA

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

NPI Synchronization or Removal

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