MRS. KYLIE PELLERIN (NPI# 1043636962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043636962 |
| Entity Type | Individual |
| Full Name | MRS. KYLIE PELLERIN |
| Credential | MS, LPES, NCSP |
| Practice Address |
315 Pearman Dairy Rd Anderson SC 29625-3801 |
| Practice Telephone | 8642605135 |
| Mailing Telephone | 8642605135 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2015-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
4627 | SC | Behavioral Health & Social Service Providers |
| Street Address |
315 PEARMAN DAIRY RD |
| City | ANDERSON |
| State | SC |
| Zip Code | 29625-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629554704 | Kathryn Moules Newton | Registered Nurse | 200 Mcgee Ed., Anderson, SC 29625 | 2018-07-12 |
| 1285121640 | Linda Reeves Mccullough | Registered Nurse | 1014bwhitehall Rd., Anderson, SC 29625 | 2018-04-20 |
| 1245688787 | Sacred Heart Beats | Music Therapist | 1107 Watkins Road, Anderson, SC 29625 | 2016-05-25 |
| 1649667718 | Deanna R Luvene | Counselor | 515b Camson Road, Abderson, SC 29625 | 2015-04-16 |
| 1295162048 | Kimberly Dickerson | Pharmacist | 922 Highway 28 By-pass, Anderson, SC 29625 | 2013-10-10 |
| 1386998458 | Judy E. Festa-hanna | Counselor | 226 Mcgee Road, Anderson, SC 29625 | 2012-10-29 |
| 1902156201 | Britanny Ab Rood | Pharmacist | 109 Hwy 28 Bypass, Anderson, SC 29625 | 2012-09-13 |
| 1689993065 | Carey Glenn | Midwife | 1107 Watkins Rd, Anderson, SC 29625 | 2010-05-24 |
| 1033350616 | Mobility Rehab Products, LLC | Durable Medical Equipment & Medical Supplies | 235 Polaris Street, Anderson, SC 29625 | 2009-03-12 |
| 1437329018 | Moriah Healthcare Services LLC | Clinic/Center | 823 Pearman Dairy Rd, Anderson, SC 29625 | 2008-03-10 |
| Find all providers in zip 29625 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306400825 | Laurie Stroupe | Psychologist | 210 N Mcduffie St Ste 102, Anderson, SC 29621-5648 | 2019-04-30 |
| 1508237074 | Krista Roscoe | Psychologist | 2701 Calrossie Rd, Anderson, SC 29621-2709 | 2015-10-09 |
| 1063813384 | Lindsay Abbott | Psychologist | 400 Pearman Dairy Rd, Anderson, SC 29625-3100 | 2014-09-05 |
| 1215353693 | Kristen Wilson | Psychologist | 400 Pearman Dairy Rd, Anderson, SC 29625-3100 | 2014-03-10 |
| 1851725618 | Ashlynn Monroe Jordan | Psychologist | 400 Pearman Dairy Rd, Anderson, SC 29625-3100 | 2013-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842865 | Maria Fernanda Dasilva | Psychologist | 2032 Emerald Pines Dr, Tega Cay, SC 29708-8330 | 2020-05-15 |
| 1891338794 | Joe Babcock | Psychologist | 101 Sugarfield Ct, Greer, SC 29650-3353 | 2019-10-23 |
| 1851941314 | Seagrass Psychoeducational Solutions LLC | Psychologist | 10 Pinckney Colony Rd Ste 312, Bluffton, SC 29909-4148 | 2019-09-17 |
| 1699325225 | Catherine Anne Aurora Pinnola | Psychologist | 4012 Atalaya Pl, Myrtle Beach, SC 29579-5175 | 2019-09-16 |
| 1093270092 | Sarah Rasel | Psychologist | 262 Red Cedar St Ste 4, Bluffton, SC 29910-8968 | 2019-02-04 |
| 1649745845 | Brandi T Dennis | Psychologist | 2011 2nd Loop Rd Ste A, Florence, SC 29501-6187 | 2018-10-04 |
| 1285116152 | Joneen Mary Adams | Psychologist | 895 N Fraser St, Georgetown, SC 29440-3356 | 2018-09-06 |
| 1992284236 | Emma J Merry | Psychologist | 420 E Park Ave Ste 304, Greenville, SC 29601-2257 | 2018-08-08 |
| 1093208894 | Sophie Ellis | Psychologist | 9217 University Blvd Ste C1a, North Charleston, SC 29406-9147 | 2018-06-07 |
| 1407356439 | Lakia Charise Johnson | Psychologist | 230 Avonshire Dr, Summerville, SC 29483-7355 | 2018-02-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.