DR. WARREN KEITH DEPONTI (NPI# 1679866719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679866719 |
| Entity Type | Individual |
| Full Name | DR. WARREN KEITH DEPONTI |
| Credential | D.O. |
| Practice Address |
701 Grove Rd Ste 200 Greenville SC 29605-4210 |
| Mailing Address |
1720 Beacon St Fort Wayne IN 46805-4749 |
| Practice Telephone | 8645225550 |
| Practice Fax Number | 8644558981 |
| Mailing Telephone | 2603738000 |
| Mailing Fax Number | 2603738034 |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2019-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
03768 | KY | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
03768 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100251950 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1720 Beacon St, Fort Wayne, IN 468054749 | 2603738000 | 2603738034 |
| Street Address |
701 GROVE RD STE 200 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396738977 | Susan Kaye Lucas Mcginty | Psychiatry & Neurology | 701 Grove Rd Ste 200, Greenville, SC 29605-4210 | 2005-08-29 |
| 1225522345 | Robbie Joe Shoenleben | Counselor | 701 Grove Rd Ste 200, Greenville, SC 29605-4210 | 2018-06-21 |
| 1275950198 | Melanie Kay Miller | Psychiatry & Neurology | 701 Grove Rd Ste 200, Greenville, SC 29605-4210 | 2014-03-28 |
| 1104195387 | Kay R Hornaday | Social Worker | 701 Grove Rd Ste 200, Greenville, SC 29605-4210 | 2011-12-19 |
| 1700198702 | Frank Alexander Clark | Psychiatry & Neurology | 701 Grove Rd Ste 200, Greenville, SC 29605-4210 | 2010-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154851590 | Stat Md Pllc | Psychiatry & Neurology | 2710 Sunset Strip Ste C, Greenville, TX 75402-3848 | 2017-06-18 |
| 1255462917 | Gloria Rodarte Brun, M. D., P. A. | Psychiatry & Neurology | 5604 Wesley St, Ste. 101, Greenville, TX 75402-6326 | 2007-03-07 |
| 1710042304 | Nancy Louise Vogel | Psychiatry & Neurology | 925 Conference Dr, Greenville, NC 27858-5971 | 2006-12-26 |
| 1699876300 | Kim Aurora Reynolds | Psychiatry & Neurology | 2305 Executive Cir, 102, Greenville, NC 27834-3749 | 2006-09-26 |
| 1396738977 | Susan Kaye Lucas Mcginty | Psychiatry & Neurology | 701 Grove Rd Ste 200, Greenville, SC 29605-4210 | 2005-08-29 |
| 1336588227 | Arun Handa | Psychiatry & Neurology | 701 Grove Rd, Greenville, SC 29605 | 2013-06-24 |
| 1225377328 | Fernando M. Siles, Md, Pllc | Psychiatry & Neurology | 2405 Stonewall St, Greenville, TX 75401-3349 | 2013-02-08 |
| 1235402884 | Integrated Family Services, Pllc | Psychiatry & Neurology | 105 E Victoria Ct, Suite A, Greenville, NC 27858-5755 | 2012-02-13 |
| 1255622726 | Kathy Schutz Lcsw PC | Psychiatry & Neurology | 702 Cromwell Dr, Suite G, Greenville, NC 27858-5436 | 2011-05-02 |
| 1336439637 | Brittany Page Rodgers | Psychiatry & Neurology | 27 Memorial Medical Dr, Greenville, SC 29605-4407 | 2011-04-08 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on DR. WARREN KEITH DEPONTI.
| 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.