SOUTH CAROLINA NEURO, LLC


Address: 29 Leinbach Drive, D4, Charleston, SC 29407-7086
Phone: 8435096521

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
107 W 5th North St Ste 102, Summerville, SC 294836446 8435096521

Office Location

Street Address 29 LEINBACH DRIVE
D4
City CHARLESTON
State SC
Zip Code 29407-7086

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City CHARLESTON
Zip Code 29407

Improve Information

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Dataset Information

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.

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