KERSHAW CNTY PSYCH LLC (NPI# 1366559395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366559395 |
| Entity Type | Organization |
| Organization Name | KERSHAW CNTY PSYCH LLC |
| Practice Address |
2039 West Dekalb Building 1 Suite 1 Camden SC 29020-2092 |
| Practice Telephone | 8005997183 |
| Practice Fax Number | 8037889564 |
| Mailing Telephone | 8005997183 |
| Mailing Fax Number | 8037889564 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. SUDHAKAR REDDY MORTHALA (OWNER) |
| Authorized Official Telephone | 8005997183 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
28478 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
2039 WEST DEKALB BUILDING 1 SUITE 1 |
| City | CAMDEN |
| State | SC |
| Zip Code | 29020-2092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
| 1205493871 | Kershaw County Board of Disabilities and Special Needs | Early Intervention Provider Agency | 1619 Jefferson Davis Highway, Camden, SC 29020 | 2019-05-20 |
| 1831669415 | Jennifer Dawn Colby | Counselor | 709 Mill Street, Camden, SC 29020 | 2018-11-27 |
| 1164990164 | Camden Oral Surgery & Implant Center | Dentist | 207 E. Dekalb St., Camden, SC 29020 | 2018-11-07 |
| 1730684036 | Speech Haus, LLC | Clinic/Center | 1029 Broadstreet, Suite 3, Kershaw, SC 29020 | 2018-03-28 |
| 1811414675 | Audra Rowell Scott | Registered Nurse | Kershaw County Health Department, 1116 Church Street, Camden, SC 29020 | 2017-08-23 |
| 1386173789 | Robert James Mccarthy | Specialist/Technologist | 410 Chewning Street, Camden, SC 29020 | 2017-06-08 |
| 1902357205 | First Physical Therapy LLC | Clinic/Center | 1114 Mill St, Camden, SC 29020 | 2016-10-21 |
| 1831598846 | Estate of William J Biggins | Dentist | 1015 Fair Street, Camden, SC 29020 | 2014-08-14 |
| 1154748424 | Diane Mcdonald | Registered Nurse | 1611 Church St, Camden, SC 29020 | 2014-03-25 |
| Find all providers in zip 29020 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477683100 | Pedro V. Garcia | Psychiatry & Neurology | 400 Market St., South Jersey Behavioral Health Resources, Camden, NJ 08101 | 2007-03-06 |
| 1114068236 | Lyda Cervantes Monte | Psychiatry & Neurology | 427 Market Street, Nueva Vida Behavioral Health Center of N.j., Camden, NJ 08102 | 2007-02-09 |
| 1902990229 | Tatyana Belinsky | Psychiatry & Neurology | 400 Market St, Camden, NJ 08102-1526 | 2006-10-03 |
| 1699867887 | Valerie A Clemons | Psychiatry & Neurology | 21 Elm St Fl 3, Camden, ME 04843-1902 | 2006-09-28 |
| 1760418446 | Anthony L Rostain | Psychiatry & Neurology | 3 Cooper Plz Rm 307, Camden, NJ 08103-1438 | 2006-06-24 |
| 1598237927 | Marianne Bernadino Md LLC | Psychiatry & Neurology | 87 Elm St Ste 203, Camden, ME 04843-1959 | 2018-12-25 |
| 1558864678 | Kirsy Bethania Japa | Psychiatry & Neurology | 3 Cooper Plz, Camden, NJ 08103-1438 | 2018-03-15 |
| 1225553217 | Andrea Lynne Dimaio | Psychiatry & Neurology | 1 Cooper Plaza, Suite 307, Camden, NJ 08103 | 2017-08-10 |
| 1760910897 | Tapan Parikh | Psychiatry & Neurology | 1 Cooper Plz, Camden, NJ 08103 | 2017-06-02 |
| 1750819850 | Anum Bhatia | Psychiatry & Neurology | 1 Cooper Plz, Camden, NJ 08103-1461 | 2017-06-01 |
| Find all providers in CAMDEN | ||||
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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.