DR. BEVERLY HENDELMAN (NPI# 1730125691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730125691 |
| Entity Type | Individual |
| Full Name | DR. BEVERLY HENDELMAN |
| Credential | MD |
| Practice Address |
670 Malecon Dr Parris Island SC 29905 |
| Mailing Address |
3 Venice Ct Beaufort SC 29907-1945 |
| Practice Telephone | 8122430272 |
| Mailing Telephone | 8122430272 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2011-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
5629 | AK | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
5629 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD6578 | 05 |
| Street Address |
670 MALECON DR |
| City | PARRIS ISLAND |
| State | SC |
| Zip Code | 29905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011062 | Sara Chmielewski | Physician Assistant | 283 Blvd De France, Parris Island, SC 29905 | 2020-10-21 |
| 1639723208 | James Jordan Kline | Dentist | Parris Island, Dental Clinic, Fpo, AA 29905 | 2019-07-31 |
| 1922531466 | Karl Kingry | Student in an Organized Health Care Education/Training Program | Bldg #598 Geiger Blvd, Beaufort, SC 29905 | 2017-04-11 |
| 1821405754 | Kevin Michael Haiar | Dentist | 674 Boulevard De France, Building #674, Parris Island, SC 29905 | 2014-07-11 |
| 1568718146 | Tyler Russell Johansen | Dentist | 674 Blvd De France, Beaufort, SC 29905 | 2012-08-01 |
| 1093060410 | Nicholas George Ressel | Dentist | 674 Boulevard De France, Parris Island, SC 29905 | 2012-07-23 |
| 1033407903 | Ryan Dennis Mehrer | Dentist | Mcrd Parris Island, Fpo, AA 29905 | 2011-07-13 |
| 1710215520 | James Reid | Psychologist | 670 Blvd De France, Parris Island, SC 29905 | 2009-12-07 |
| 1629303243 | Natalie Ranee Wilcox | Dentist | Mcrd, Parris Island, SC 29905 | 2009-10-15 |
| 1619139508 | William Michael Duensing | Dentist | Mcrd-dental Bldg 674, Parris Island, SC 29905 | 2008-07-01 |
| Find all providers in zip 29905 | ||||
| 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 |
|---|---|---|---|---|
| 1043832157 | Envision Wellness Medical Group LLC | Psychiatry & Neurology | 4100 N Main St Ste 101, Columbia, SC 29203-5800 | 2020-05-12 |
| 1568736247 | David Downie Iv, M.d.,p.a. | Psychiatry & Neurology | 1327 Richland Street, Columbia, SC 29201 | 2012-02-28 |
| 1447522800 | Life Strategies LLC | Psychiatry & Neurology | 2855 Pruitt Dr, Columbia, SC 29204-3645 | 2012-02-01 |
| 1881803641 | Ajay Sood | Psychiatry & Neurology | 255 King St, Charleston, SC 29401-1435 | 2007-05-21 |
| 1619023876 | Marietta M. Chua | Psychiatry & Neurology | 4 Sweet Gum Ln, Hilton Head Island, SC 29928-4207 | 2007-01-28 |
| 1083704837 | Kimberly Monique Bush | Psychiatry & Neurology | 448 Lakeshore Pkwy Ste 110, Rock Hill, SC 29730-4264 | 2006-10-13 |
| 1043308356 | Herbert Randolph Spencer | Psychiatry & Neurology | 1800 Colonial Drive, Columbia, SC 29201 | 2006-10-11 |
| 1891883005 | Elizabeth Hubbard Jeffords | Psychiatry & Neurology | 3612 Landmark Dr Ste B, Columbia, SC 29204-4039 | 2006-10-11 |
| 1053359851 | Ayanna Swinton Jamison | Psychiatry & Neurology | 2601 Read St Ste I-10, Columbia, SC 29204-7861 | 2006-06-03 |
| 1144271867 | Laureen Judy Noll | Psychiatry & Neurology | 20 Powderhorn Rd, Simpsonville, SC 29681-3399 | 2006-05-15 |
| Find all providers with the same taxonomy | ||||
| City | PARRIS ISLAND |
| Zip Code | 29905 |
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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.