PEDINET, LLC (NPI# 1255460747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255460747 |
| Entity Type | Organization |
| Organization Name | PEDINET, LLC |
| Practice Address |
34 Heritage Point Dr Simpsonville SC 29681-3245 |
| Practice Telephone | 8647045534 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MINDO J NATALE (CEO) |
| Authorized Official Telephone | 8647045534 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 1020 | SC | Behavioral Health & Social Service Providers |
| Street Address |
34 HERITAGE POINT DR |
| City | SIMPSONVILLE |
| State | SC |
| Zip Code | 29681-3245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851858013 | The Tot Spot of South Carolina | Dentist | 1334 S. Hwy 14, Simpsonville, SC 29681 | 2019-02-25 |
| 1194206540 | Lynnette Kathleen Beyerle | Nurse Practitioner | 227 N Main Street, Simpsonville, SC 29681 | 2018-08-23 |
| 1477030070 | Mena M Melek | Pharmacist | 115 Sc-14, Simpsonville, SC 29681 | 2018-07-26 |
| 1437673423 | Abby Elizabeth Meagher | Nurse Practitioner | 1338 South Carolina Highway 14, Simpsonville, SC 29681 | 2017-08-01 |
| 1326586447 | Brooke Huffman | Speech-Language Pathologist | 5 Moorgate Dr, Simpsonville, SC 29681 | 2017-02-09 |
| 1053869818 | A Ray of Sunshine | Home Health | 216 Chickamauga Ln, Simpsonville, SC 29681 | 2016-09-21 |
| 1679924195 | Guardian Angels of The Upstate | Licensed Practical Nurse | 117 Fairview Pointe Dr, Simpsonville, SC 29681 | 2016-06-27 |
| 1033560552 | Jimetta Littlejohn | Licensed Practical Nurse | 117 Fairview Pointe Drive, Simpsonville, SC 29681 | 2016-06-27 |
| 1932597473 | Peace and Comfort Care LLC, Home Health | Home Health | 3106 Bethel Rd Unit 55, Simpsonvill, SC 29681 | 2015-01-07 |
| 1093136830 | Kidbuilders LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 203 N. Maple St, Suite 8, Simpsonville, SC 29681 | 2013-12-20 |
| Find all providers in zip 29681 | ||||
| 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 |
|---|---|---|---|---|
| 1801352695 | Capital City Neuropsychology, LLC | Clinical Neuropsychologist | 6000 Garners Ferry Rd Ste 12, Columbia, SC 29209-1303 | 2019-02-16 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1184132193 | South Carolina Neuro, LLC | Clinical Neuropsychologist | 29 Leinbach Drive, D4, Charleston, SC 29407-7086 | 2018-01-12 |
| 1083000798 | Andrea Sartori | Clinical Neuropsychologist | 107 W 5th North St Ste 102, Summerville, SC 29483 | 2015-04-09 |
| 1366724361 | Jesse Daniel Chasman | Clinical Neuropsychologist | 1608 Paradise Lake Dr, Mount Pleasant, SC 29464-5719 | 2011-09-15 |
| 1104091404 | Anne C Saravo | Clinical Neuropsychologist | 1460 Gleasons Landing Dr, St Helena Island, SC 29920-3814 | 2008-04-28 |
| 1427261783 | Charleston Psychiatry | Clinical Neuropsychologist | 9929 F University Blvd, 2 B, Charleston, SC 29406 | 2007-05-07 |
| 1336364892 | Leonard Goldschmidt | Clinical Neuropsychologist | 4882 Socastee Blvd, Myrtle Beach, SC 29588-7245 | 2007-04-17 |
| 1174686356 | Shawna Blake Kirby | Clinical Neuropsychologist | 1705 Richland St, Columbia, SC 29201-2635 | 2006-12-18 |
| 1366504136 | Sheldon C Levin | Clinical Neuropsychologist | 913 Bowman Rd., Building #2, Mt. Pleasant, SC 29464-3235 | 2006-12-15 |
| Find all providers with the same taxonomy | ||||
| City | SIMPSONVILLE |
| Zip Code | 29681 |
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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.