DR. STEPHANIE LISA BERG (NPI# 1508809831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508809831 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE LISA BERG |
| Other Name | STEPHANIE LISA ROSE |
| Credential | MD |
| Practice Address |
11 Richland Medical Park Dr Columbia SC 29203-6863 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8034344506 |
| Practice Fax Number | 8034341537 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2018-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
31221 | SC | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35919 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0727552 | 05 | |
| SC | 312218 | 05 | |
| IA | WELLMARK BCBS | 20148 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11 Richland Medical Park Dr, Columbia, SC 292036863 | 8034344506 | 8034341537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134403801 | Stephanie Anne Berg | Dentist | 8 Los Gatos Blvd, Los Gatos, CA 95030-6120 | 2011-09-29 |
| 1629047659 | Stephanie M Berg | Internal Medicine | 4280 Main St, Ste 200, Frisco, TX 75033-3075 | 2006-03-14 |
| 1104432681 | Stephanie Rose Berg | Behavior Technician | 124 E Miracle Strip Pkwy Ste 503, Mary Esther, FL 32569-1991 | 2020-09-19 |
| 1447892385 | Stephanie Fallon Berg | Naturopath | 4835 Van Nuys Blvd Ste 200, Sherman Oaks, CA 91403-2139 | 2019-10-11 |
| 1295266690 | Stephanie Berg | Licensed Practical Nurse | 154 Cornerstone Blvd, Suite B, Hot Springs, AR 71913-6560 | 2017-03-27 |
| 1831550821 | Stephanie Berg | Peer Specialist | 1599 State St, Salem, OR 97301-4255 | 2016-03-17 |
| 1962870360 | Stephanie R Berg | Counselor | 20 E Court St, Janesville, WI 53545-3919 | 2015-09-02 |
| 1467843680 | Stephanie Berg | Counselor | 437 Railroad St, Bridgeville, PA 15017-2329 | 2015-02-10 |
| 1255686440 | Stephanie Claire Berg | Dentist | 223 N Lime St, Lancaster, PA 17602-2748 | 2012-07-13 |
| 1598064750 | Stephanie Ann Berg | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2011-03-26 |
| Street Address |
11 RICHLAND MEDICAL PARK DR |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902866742 | Ronald E Prier | Psychiatry & Neurology | 11 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2006-03-24 |
| 1922596535 | Palmetto Health - University of South Carolina Medical Group | Psychiatry & Neurology | 11 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2018-04-30 |
| 1447632278 | Megan Elizabeth Nagle | Psychiatry & Neurology | 11 Richland Medical Park Dr, Columbia, SC 29203 | 2015-06-29 |
| 1326451055 | Neurobehavioral Diagnostics LLC | Psychologist | 11 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2014-06-10 |
| 1407111636 | Kristina Salinas Hotz | Psychiatry & Neurology | 11 Richland Medical Park Dr, Columbia, SC 29203 | 2012-07-13 |
| 1376824474 | Sandra Crow | Registered Nurse | 11 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2011-09-01 |
| 1366745416 | Kimberly Kruse | Psychologist | 11 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2010-12-13 |
| 1477865962 | Dumetz Scott | Psychiatry & Neurology | 11 Richland Medical Park Dr, Columbia, SC 29203 | 2010-07-13 |
| 1316262132 | Davis Rhett Rowell | Social Worker | 11 Richland Medical Park Dr, Richland Springs Csp-1, Columbia, SC 29203-6863 | 2010-04-05 |
| 1164661864 | Palmetto Health | Psychiatry & Neurology | 11 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2009-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 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 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1043835879 | Vida Gholami Yousefian | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-08 |
| 1750910857 | Innovative Tms LLC | Psychiatry & Neurology | 9256 Bendix Rd Ste 205, Columbia, MD 21045-1848 | 2020-04-02 |
| 1063061620 | Hopefull Counseling and Psychiatry LLC | Psychiatry & Neurology | 1421 Calhoun St, Columbia, SC 29201-2509 | 2019-09-06 |
| 1750939864 | Brave, LLC | Psychiatry & Neurology | 2100 Forum Blvd Ste C-2, Columbia, MO 65203-5436 | 2019-09-01 |
| 1073171344 | Himangshu Rathinakumar | Psychiatry & Neurology | University of Missouri 1 Hospital Drive Dco67.00, Columbia, MO 65212-0001 | 2019-06-03 |
| 1154988822 | Alliance Psychiatry LLC | Psychiatry & Neurology | 8840 Stanford Blvd Ste 4000, Columbia, MD 21045-5850 | 2019-05-28 |
| 1285194613 | Mind Matters LLC | Psychiatry & Neurology | 3201 S Providence Rd Ste 202, Columbia, MO 65203-3622 | 2019-03-21 |
| Find all providers in COLUMBIA | ||||
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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.