COASTAL PSYCHIATRY, LLC (NPI# 1699702654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699702654 |
| Entity Type | Organization |
| Organization Name | COASTAL PSYCHIATRY, LLC |
| Practice Address |
1030 Jenkins Rd Suite A Charleston SC 29407-5704 |
| Practice Telephone | 8438520083 |
| Practice Fax Number | 8438520087 |
| Mailing Telephone | 8438520083 |
| Mailing Fax Number | 8438520087 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-11-30 |
| Authorized Official Name | SANDRA H MATTHEWS (BILLING REPRESENTATIVE) |
| Authorized Official Telephone | 8435328549 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP3354 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407390610 | Coastal Psychiatry, LLC | Clinic/Center | 1026 Stanton Rd, Ste. A, Daphne, AL 36526-4299 | 2016-12-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Coastal Psychiatry, LLC | 816 Manci Ave, Daphne, AL 36526 |
| Street Address |
1030 JENKINS RD SUITE A |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407-5704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700836301 | Lucy Woltz Preyer | Psychiatry & Neurology | 1030 Jenkins Rd, Suite A, Charleston, SC 29407-5500 | 2006-05-12 |
| 1861719106 | Deborah Still LLC | Social Worker | 1030 Jenkins Rd, Suite A, Charleston, SC 29407-5500 | 2010-04-27 |
| 1669618922 | Mary E. Horton, Lisw-cp, LLC | Social Worker | 1030 Jenkins Rd, Suite A, Charleston, SC 29407-5500 | 2008-12-16 |
| 1194960575 | Mary Elizabeth Horton | Social Worker | 1030 Jenkins Rd, Charleston, SC 29407-5500 | 2008-12-12 |
| 1881864551 | Charla Mceachin LLC | Marriage & Family Therapist | 1030 Jenkins Rd, Suite A, Charleston, SC 29407-5500 | 2008-03-10 |
| 1568497394 | Ira Lawrence Rosenshein | Psychiatry & Neurology | 1030 Jenkins Rd, Suite A, Charleston, SC 29407-5704 | 2006-07-11 |
| 1790716462 | Leigh Jayne Mckenzie | Psychiatry & Neurology | 1030 Jenkins Rd, Suite A, Charleston, SC 29407-5704 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| Find all providers in zip 29407 | ||||
| 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 |
|---|---|---|---|---|
| 1942825484 | Amelia Katherine Watson | Psychiatry & Neurology | 2 Ehrhardt Street, Msc 861, Charleston, SC 29495 | 2020-06-10 |
| 1396306767 | Charles Francis Palmer IIi | Psychiatry & Neurology | 2 Ehrhardt St, Charleston, SC 29425-0001 | 2019-06-25 |
| 1235798299 | Amanda Kate Allen | Psychiatry & Neurology | 861 Msc, Charleston, SC 29425-1009 | 2019-06-12 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| 1063907566 | Ayodeji Yetunde Metiko | Psychiatry & Neurology | 169 Ashley Avenue, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2018-06-27 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1700315090 | Patrick Robbins | Psychiatry & Neurology | 67 President Street Musc Health Institute Of, Charleston, SC 29425-0001 | 2017-06-08 |
| 1770016016 | Lucas Jacob Rosenblatt | Psychiatry & Neurology | 46 Montagu St Apt B, Charleston, SC 29401-6709 | 2017-04-04 |
| 1245685064 | Ann Marie Decker Frederick | Psychiatry & Neurology | 2 Ehrhardt Street Msc 861, Charleston, SC 29425-1020 | 2016-04-29 |
| 1659768620 | David Michael Allen | Psychiatry & Neurology | 1460 Tobias Gadson Blvd Ste 180, Charleston, SC 29407 | 2015-04-17 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
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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.