UDERITZ FAMILY PSYCHIATRY, LLC (NPI# 1477077329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477077329 |
| Entity Type | Organization |
| Organization Name | UDERITZ FAMILY PSYCHIATRY, LLC |
| Other Organization Name | ANGEL OAK COUNSELING |
| Practice Address |
3227 Walter Dr Ste 3b Johns Island SC 29455-8171 |
| Practice Telephone | (843) 872-5454 |
| Practice Fax Number | 8438725501 |
| Mailing Telephone | 8438725454 |
| Mailing Fax Number | 8438725501 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Authorized Official Name | DANIEL JAY UDERITZ (OWNER - PSYCHIATRIST) |
| Authorized Official Telephone | 8438725454 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
34478 | SC | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
34478 | SC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Angel Oak Counseling | Doing Business As Name - Organization |
| Street Address |
3227 WALTER DR STE 3B |
| City | JOHNS ISLAND |
| State | SC |
| Zip Code | 29455-8171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295963437 | Daniel Uderitz | Psychiatry & Neurology | 3227 Walter Dr Ste 3b, Johns Island, SC 29455-8171 | 2009-06-25 |
| 1124650825 | Tasha Rose Ponce | Marriage & Family Therapist | 3227 Walter Dr Ste 3b, Johns Island, SC 29455-8171 | 2020-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689216863 | Live for Wellness Johns Island | Chiropractor | 1803 Crowne Commons Way, Suite 1-a, Johns Island, SC 29455 | 2019-10-09 |
| 1588180186 | Ashley Nicole Cox | Specialist/Technologist | 24 Surfsong Rd, Johns Island, SC 29455 | 2017-08-16 |
| 1568820173 | Bernard Mansheim | Internal Medicine | 3226 Maybank Highway Ste 1a, Johns Island, SC 29455 | 2016-02-10 |
| 1932527843 | Gordon Theodore Davis | General Practice | 3226 Maybank Highway Suite 1-a, Barrier Islands Free Medical Clinics, Johns Island, SC 29455 | 2014-03-29 |
| 1568749596 | Dawn Lachelle Sykes | Chiropractor | 3029 Maybank Highway, Suite 1, Johns Island, SC 29455 | 2011-11-04 |
| 1265765994 | Raymond David Mulligan | Psychologist | 431 Snowy Egret Lane, Kiawah Island, SC 29455 | 2009-09-14 |
| 1912172636 | Nicole Marie Juntz | Chiropractor | 3069 Maybank Hwy, Johns Island, SC 29455 | 2008-04-23 |
| 1972701803 | Village Optical LLC | Optometrist | 634 Freshfields Drive, Johns Island, SC 29455 | 2007-07-03 |
| 1902982945 | John Patrick Howard | Dentist | 1684 Brownswood Rd., Our Lady of Mercy Outreach, Johns Island, SC 29455 | 2006-10-31 |
| 1265515795 | Vincents Drug Store and Soda Fountain | Pharmacy | 110 Planted Row Lane, Johns Island, SC 29455 | 2006-10-20 |
| Find all providers in zip 29455 | ||||
| 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 |
|---|---|---|---|---|
| 1295963437 | Daniel Uderitz | Psychiatry & Neurology | 3227 Walter Dr Ste 3b, Johns Island, SC 29455-8171 | 2009-06-25 |
| 1457300147 | Charles Lawrence Bensonhaver | Psychiatry & Neurology | 4044 Bridal Trail Dr, Johns Island, SC 29455-6242 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072601 | A'nucare | Psychiatry & Neurology | 708 Pearl St, Darlington, SC 29532-3842 | 2020-08-04 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1942825484 | Amelia Katherine Watson | Psychiatry & Neurology | 2 Ehrhardt Street, Msc 861, Charleston, SC 29495 | 2020-06-10 |
| 1043835879 | Vida Gholami Yousefian | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-08 |
| 1518591858 | Awakenings Psychiatric Services, PC | Psychiatry & Neurology | 1010 E North St Ste 1a, Greenville, SC 29601-3166 | 2020-02-25 |
| 1841835212 | Lauren Elisabeth Collins | Psychiatry & Neurology | 1404 Cilantro Ct, Tega Cay, SC 29708-0133 | 2019-11-08 |
| 1063061620 | Hopefull Counseling and Psychiatry LLC | Psychiatry & Neurology | 1421 Calhoun St, Columbia, SC 29201-2509 | 2019-09-06 |
| 1396306767 | Charles Francis Palmer IIi | Psychiatry & Neurology | 2 Ehrhardt St, Charleston, SC 29425-0001 | 2019-06-25 |
| Find all providers with the same taxonomy | ||||
| City | JOHNS ISLAND |
| Zip Code | 29455 |
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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.