EAST COOPER PSYCHIATRIC SOLUTIONS LLC NPI 1730413634

NPI Information

  • NPI: 1730413634
  • Provider Name: EAST COOPER PSYCHIATRIC SOLUTIONS, LLC
  • Classification: Psychologist - 103TP0016X
  • Specialization: Prescribing (Medical)
  • Entity Type: Organization
  • Address: 1073B JOHNNIE DODDS BLVD
    SUITE 1 BUILDING F
    MOUNT PLEASANT, SC
    ZIP 29464
  • Phone: (843) 478-8585

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NPI Details

EAST COOPER PSYCHIATRIC SOLUTIONS, LLC is a prescribing (medical) psychologist in Mount Pleasant, SC. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. EAST COOPER PSYCHIATRIC SOLUTIONS, LLC NPI is 1730413634. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1073B JOHNNIE DODDS BLVD
SUITE 1 BUILDING F
MOUNT PLEASANT, SC
ZIP 29464-155
Phone: (843) 478-8585

The provider's authorized official is Ricardo Jose Fermo .
The authorized official title is Medical Doctor/ Psychiatrist and has the following contact phone number (843) 478-8585.

The enumeration date for this NPI number is 9/24/2009 and was last updated on 9/24/2009.

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
1103TP0016XPsychologistPrescribing (Medical)25547SOUTH CAROLINANo
2106H00000XMarriage & Family Therapist4478SOUTH CAROLINANo
3103TP0016XPsychologistPrescribing (Medical)18143SOUTH CAROLINAYes

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
11346312568OTHERSOUTH CAROLINANPI
21386752236OTHERSOUTH CAROLINANPI
31891892683OTHERSOUTH CAROLINANPI

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: 11/21/2025

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