DR. NADINE GRISSETT MCCALLUM (NPI# 1285984807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285984807 |
| Entity Type | Individual |
| Full Name | DR. NADINE GRISSETT MCCALLUM |
| Credential | PH.D. |
| Practice Address |
398 College Ave Clemson SC 29631 |
| Practice Telephone | 8649853305 |
| Mailing Telephone | 8649853305 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
635 | SC | Behavioral Health & Social Service Providers |
| Street Address |
398 COLLEGE AVE |
| City | CLEMSON |
| State | SC |
| Zip Code | 29631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134111222 | Jacqueline Deloache Mouzon | Specialist | 398 College Ave, Clemson, SC 29631-1432 | 2005-08-16 |
| 1235410473 | Clemson Psychiatry, Inc. | Exclusive Provider Organization | 398 College Ave, Clemson, SC 29631-1432 | 2011-09-01 |
| 1962721944 | Raul Paez, P.C. | Psychiatry & Neurology | 398 College Ave, Clemson, SC 29631-1432 | 2010-05-29 |
| 1942440896 | George R. Rhodes | Counselor | 398 College Ave, Clemson, SC 29631-1432 | 2009-03-04 |
| 1568622165 | Behavior Consulting Services, LLC | Early Intervention Provider Agency | 398 College Ave, Clemson, SC 29631-1432 | 2008-06-17 |
| 1932369642 | Rhonda Buford | Psychologist | 398 College Ave, Clemson, SC 29631-1432 | 2008-06-16 |
| 1467677708 | Michelle Grant Scott | Social Worker | 398 College Ave, Clemson, SC 29631-1432 | 2007-04-13 |
| 1467575936 | Clemson Behavioral Health Pa | Psychiatry & Neurology | 398 College Ave, Clemson, SC 29631-1432 | 2007-04-09 |
| 1043336811 | Raul Paez | Psychiatry & Neurology | 398 College Ave, Clemson, SC 29631-1432 | 2007-03-22 |
| 1639226632 | Cynthia Carter Still | Counselor | 398 College Ave, Clemson, SC 29631-1432 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059038 | James Ryan Small | Specialist/Technologist | 212 Vista Cir, Clemson, SC 29631 | 2019-12-09 |
| 1811559883 | Cheyenne Leigh Reynolds | Specialist/Technologist | 100 Reeves Way, Clemson, SC 29631 | 2019-07-01 |
| 1912474792 | Andrea Bagley Stokes | Physical Therapist | 500-1 Old Greenville Hwy # 1, Clemson, SC 29631 | 2018-10-30 |
| 1114426178 | Intouch Pharmacy LLC | Pharmacy | 105 Wall Street, Suite 10b, Clemson, SC 29631 | 2018-02-06 |
| 1881117695 | Community Pharmacy Group, Inc. | Pharmacy | 143 Thomas Green Blvd, Clemson, SC 29631 | 2017-07-24 |
| 1295286276 | James Matthew Mills | Occupational Therapist | 101 Chapman Rd, Clemson, SC 29631 | 2016-10-14 |
| 1558769141 | Virginia Bridges Gaulin | Counselor | 209 Pendleton Rd Ste C, Clemson, SC 29631 | 2014-12-12 |
| 1437580628 | Amanda Martin Eubanks | Speech-Language Pathologist | 101 Chapman Road Suite 202, Clemson, SC 29631 | 2013-12-12 |
| 1437408499 | Fort Hill Family Dentistry, Pa | Clinic/Center | 124 Strode Circle, Clemson, SC 29631 | 2012-09-06 |
| 1942511738 | Theresa S Ritter | Counselor | 386 College Avenue, Suite A, Clemson, SC 29631 | 2010-06-25 |
| Find all providers in zip 29631 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124353776 | Heidi Zinzow | Psychologist | 400 College Ave Ste 4, Clemson, SC 29631-2925 | 2009-10-14 |
| 1447334198 | Cannon Psychological Associates, PC | Psychologist | 1376 Tiger Blvd Ste 210, Clemson, SC 29631-2654 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181125 | Christopher Moylan | Psychologist | 200 Patewood Dr Bldg A, Greenville, SC 29615-3593 | 2020-10-16 |
| 1396353736 | Corvus Psychotherapy, LLC | Psychologist | 1114 Battery Creek Rd, Beaufort, SC 29902-6309 | 2020-07-22 |
| 1861000978 | Lauren Gay Fontenot | Psychologist | 3453 Pelham Rd Ste 107, Greenville, SC 29615-7400 | 2020-07-15 |
| 1306497151 | Susan K Jones LLC | Psychologist | 105 Central Ave Unit 7, Goose Creek, SC 29445-3269 | 2019-09-24 |
| 1518515097 | Warrenetta Crawford Mann | Psychologist | 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 | 2019-08-28 |
| 1881247476 | Reliant Mental Health Services LLC | Psychologist | 221- 223 Adley Way Ste 221, Greenville, SC 29607-6511 | 2019-07-23 |
| 1487212742 | Alysha Buonerba | Psychologist | 211 King St Ste 206, Charleston, SC 29401-3184 | 2019-06-03 |
| 1497212435 | Katherine Elizabeth Bischoff | Psychologist | 388 Huger St, Charleston, SC 29403-4126 | 2019-02-26 |
| 1326512088 | Roper Saint Francis Physicians Network | Psychologist | 2097 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5739 | 2019-01-16 |
| 1861964207 | Erin Joy Schuyler | Psychologist | 26 Barn Owl Ct, Columbia, SC 29209-4488 | 2018-12-26 |
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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.