REVOLUTION PSYCHOLOGY, LLC (NPI# 1346886801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346886801 |
| Entity Type | Organization |
| Organization Name | REVOLUTION PSYCHOLOGY, LLC |
| Practice Address |
301 Rutherford St Ste D Greenville SC 29609-5309 |
| Practice Telephone | 8644179668 |
| Mailing Telephone | 8644179668 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | DR. JOSEPH PACIARELLI (PRESIDENT/CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 8644179668 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
301 RUTHERFORD ST STE D |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29609-5309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336478692 | Eugene Joseph Paciarelli, Jr. Jr. | Psychologist | 301 Rutherford St Ste D, Greenville, SC 29609-5309 | 2009-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522376 | Piney Mountain Rx LLC | Pharmacy | 2498 North Pleasantburg Drive, Suite A, Greenville, SC 29609 | 2018-09-17 |
| 1417434655 | Kathryn Dorothy Muschick | Pediatrics | 900 W. Faris Dr., Greenville, SC 29609 | 2018-07-20 |
| 1942705645 | The Wright Home Care, LLC | Social Worker | 217 E Stone Ave Ste 8, Greenville, SC 29609 | 2018-03-26 |
| 1205388386 | Galina Hufstetler | Physical Therapist | 414 Summit Drive, Apt. 313, Greenville, SC 29609 | 2016-10-25 |
| 1811303225 | Cal Jones LLC | Pharmacy | 961 Montebello Dr, Suite 2, Greenville, SC 29609 | 2014-07-07 |
| 1982954319 | John C Shaughnessy | Pharmacist | 1141 State Park Road, Greenville, SC 29609 | 2012-09-13 |
| 1770842726 | Neil S Sondov | Counselor | 1100 Rutherford Road, Greenville, SC 29609 | 2012-05-11 |
| 1790044915 | Crystal Ervin | Counselor | 1 Chick Springs Rd Ste 210a, Greenville, SC 29609 | 2012-05-08 |
| 1881992840 | Cherrydale Dental Associates, LLC | Dentist | 105 State Park Rd, Greenville, SC 29609 | 2011-03-01 |
| 1649584483 | Paul E Waters | Pharmacist | 1 East Stone Ave, Greenville, SC 29609 | 2010-08-04 |
| Find all providers in zip 29609 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1629546783 | Sherrita Y Rogers | Psychologist | 601 Country Club Dr Ste F, Greenville, NC 27834-6124 | 2018-11-07 |
| 1811488869 | Bailey Nevels | Psychologist | 11 N Irvine St, Greenville, SC 29601-4900 | 2018-05-25 |
| 1356853535 | Patricia Rogers Goodyear | Psychologist | 117 W Antrim Dr, Greenville, SC 29607-2505 | 2017-10-28 |
| 1538694559 | Jeannie Golden | Psychologist | 104 Rawl Building, Department of Psychology East Carolina University, Greenville, NC 27858 | 2017-04-27 |
| 1023542982 | Patrick Sears, Psy.d. | Psychologist | 100 Us Highway 40, Fci Greenville, Federal Bureau of Prisons, Greenville, IL 62246 | 2017-04-18 |
| 1649624115 | Family Health Services of Darke County, Inc. | Psychologist | 1101 Jackson St, Greenville, OH 45331-1183 | 2016-04-20 |
| 1356716542 | Melanie Albers | Psychologist | 330 E Coffee St, Greenville, SC 29601-2804 | 2015-12-14 |
| 1518359140 | Optima Counseling and Consulting, LLC | Psychologist | 3505 Pelham Rd Ste B, Greenville, SC 29615-4154 | 2015-02-18 |
| 1144628801 | Rosalind Banks | Psychologist | 416 Crestmont Way, Greenville, SC 29615-5056 | 2014-12-11 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29609 |
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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.