SOUTH CAROLINA NEURO, LLC (NPI# 1184132193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184132193 |
Entity Type | Organization |
Organization Name | SOUTH CAROLINA NEURO, LLC |
Practice Address |
29 Leinbach Drive D4 Charleston SC 29407-7086 |
Practice Telephone | 8435096521 |
Practice Fax Number | 8436363406 |
Mailing Telephone | 8435096521 |
Mailing Fax Number | 8436363406 |
Enumeration Date | 2018-01-12 |
Last Update Date | 2019-08-21 |
Authorized Official Name | DR. WILLIAM HOWARD BUDDIN JR. (OWNER) |
Authorized Official Telephone | 8438605266 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
107 W 5th North St Ste 102, Summerville, SC 294836446 | 8435096521 |
Street Address |
29 LEINBACH DRIVE D4 |
City | CHARLESTON |
State | SC |
Zip Code | 29407-7086 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
Find all providers in zip 29407 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427261783 | Charleston Psychiatry | Clinical Neuropsychologist | 9929 F University Blvd, 2 B, Charleston, SC 29406 | 2007-05-07 |
1447206941 | C. David Blair | Clinical Neuropsychologist | 179 Summers St, Suite 706, Charleston, WV 25301-2163 | 2006-05-26 |
1528670304 | Heather Holden | Clinical Neuropsychologist | 109 Bee St, Charleston, SC 29401-5703 | 2020-08-21 |
1902428725 | Emmi Scott | Clinical Neuropsychologist | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-05-14 |
1649769431 | Danielle L. Cool | Clinical Neuropsychologist | 109 Bee St, Charleston, SC 29401-5703 | 2018-05-07 |
1922536598 | Dana M Szeles | Clinical Neuropsychologist | 135 Rutledge Ave, Charleston, SC 29425-8903 | 2017-05-26 |
1831575083 | Margaret B Hudepohl | Clinical Neuropsychologist | 171 Ashley Ave, Charleston, SC 29425-1873 | 2015-08-10 |
1487088894 | Andreana Benitez | Clinical Neuropsychologist | 171 Ashley Ave, Charleston, SC 29425-8908 | 2013-08-22 |
1548599160 | Jeffrey James Schneider | Clinical Neuropsychologist | 109 Bee St, Compensation and Pension, Charleston, SC 29401-5703 | 2009-12-10 |
1407089584 | Travis Henry Turner | Clinical Neuropsychologist | 109 Bee St, Ralph H Johnson Vamc, Mh 116, Charleston, SC 29401-5703 | 2009-08-24 |
Find all providers in CHARLESTON |
City | CHARLESTON |
Zip Code | 29407 |
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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.