DR. PETER H LEWIS


Address: 204 W Hill Blvd, 628th Mdos (mental Health - Bldg 1000), Charleston, SC 29404-4704
Phone: 8439636852

DR. PETER H LEWIS (NPI# 1447413471) 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) 1447413471
Entity Type Individual
Full Name DR. PETER H LEWIS
Credential PSY.D.
Practice Address 204 W Hill Blvd
628th Mdos (mental Health - Bldg 1000)
Charleston
SC 29404-4704
Practice Telephone 8439636852
Mailing Telephone 8439636852
Enumeration Date 2008-07-09
Last Update Date 2018-03-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
1234 SC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
DC NATIONAL REGISTER OF HEALTH SERVICE PSYCHOLOGISTS 53672 01

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Office Location

Street Address 204 W HILL BLVD
628TH MDOS (MENTAL HEALTH - BLDG 1000)
City CHARLESTON
State SC
Zip Code 29404-4704

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821631763 Laura Simmons Military Health Care Provider 204 W Hill Blvd, Charleston, SC 29404-4704 2019-10-23
1205294550 Brandon Stoker Military Health Care Provider 204 W Hill Blvd, Charleston, SC 29404-4704 2016-02-02
1174839096 William Jennings Laugherty Jr. Nurse Practitioner 204 W Hill Blvd, Bldg 364 Rm 2056, Charleston, SC 29404-4704 2010-08-30
1922239466 Monti Cutlip Jr. Military Health Care Provider 204 W Hill Blvd, Charleston, SC 29404-4704 2009-07-31
1467534370 Calvin Jon Bosman Psychiatry & Neurology 204 W Hill Blvd, Charleston, SC 29404-4704 2006-10-19
1164536983 Jennifer S. Green Social Worker 204 W Hill Blvd, Charleston, SC 29404-4704 2006-08-18
1487665972 Joseph Russell Maiden Sr. Social Worker 204 W Hill Blvd, 437 Medical Operations Squadron, Charleston, SC 29404 2006-08-10
1376553313 Catherine Avery Hallett Social Worker 204 W Hill Blvd, Charleston, SC 29404-4704 2006-08-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346751971 James Tyrone Wilder Social Worker B, 1001 Michigan Ave, Joint Base, Charleston, SC 29404 2017-10-23
1033422902 Michael Ryan Moore Physical Therapist 628th Medical Group, 204 West Hill Blvd, Charleston, SC 29404 2010-07-21
1720221013 Cristy Jo Preslar Military Health Care Provider 364 Arthur Drive, Charleston Afb, SC 29404 2009-04-16
1336237627 Douglas Vail Campbell Psychologist 437mdos/lssc - 204 West Hill Blvd, Charleston Afb, SC 29404 2006-10-11
1124019914 Neal Robert Taylor Family Medicine 628 Medical Group 204 W. Hill Blvd, Jb Charleston, SC 29404 2005-11-02
1295092328 Suzanne M O'shea Registered Nurse 204 W. Hill Blvd, Charleston, SC 29404-0000 2012-04-13
1306281373 Michelle Karen Calandra Registered Nurse 1000 Michigan Ave, Charleston Afb, SC 29404-2020 2013-05-06
1336560440 Merin Williams Speech-Language Pathologist 1000 Michigan Ave, Charleston Afb, SC 29404-2020 2013-12-17
1154884468 Palmetto Pa Assist, LLC Physician Assistant 101 Lawson Dr # 103, Charleston, SC 29404-2121 2019-04-12
1750811089 Radiant Neuromonitoring LLC Psychiatry & Neurology 101 Lawson Dr # 104, Charleston, SC 29404-2121 2017-06-19
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760083927 Kimberly Adele Hughes Psychologist 310 Cambridge Pointe, Charleston, WV 25309-8596 2020-11-04
1912537424 Miyuki N. Ege Psychologist 333 Laidley St Fl 4e, Charleston, WV 25301-1614 2020-01-23
1487212742 Alysha Buonerba Psychologist 211 King St Ste 206, Charleston, SC 29401-3184 2019-06-03
1336606110 Ronald Ray Sellers Psychologist 2308 Andover Pl, Charleston, IL 61920-3808 2019-02-27
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
1184191611 Katherine Knies Psychologist 109 Bee St. (116), Charleston, SC 29401-5703 2018-11-02
1104322320 Kara Caldwell Psychologist 333 Laidley St., 4'th Floor East, Charleston, WV 25301 2018-04-05
1023527504 Rosaura Orengo-aguayo Psychologist 67 President St # St861, Charleston, SC 29425-5712 2017-09-27
1073062113 Amanda K. Gilmore Psychologist 67 President St # 861, Charleston, SC 29425-5712 2016-09-30
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Competitor

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City CHARLESTON
Zip Code 29404

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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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