DR. JANEL M RIDDLE (NPI# 1861640583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861640583 |
| Entity Type | Individual |
| Full Name | DR. JANEL M RIDDLE |
| Credential | PH.D. |
| Practice Address |
1 Pinckney Blvd Box 6266a Beaufort SC 29902-6122 |
| Mailing Address |
1 Pinckney Boulevard Box 6266a Beaufort SC 29902-0000 |
| Practice Telephone | 8432285599 |
| Practice Fax Number | 8432285682 |
| Mailing Telephone | 8432285599 |
| Mailing Fax Number | 8432285682 |
| Enumeration Date | 2008-09-06 |
| Last Update Date | 2014-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY003774 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1 PINCKNEY BLVD BOX 6266A |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902-6122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457352643 | Terry Lynn Elliott | Family Medicine | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2005-08-10 |
| 1366042327 | Selena Damiano | Physician Assistant | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-10-29 |
| 1023620150 | Duy Thien Vinh Truong | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-08-19 |
| 1366060071 | Christopher Taylor Davis | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-07-09 |
| 1942828884 | Abraham Kim | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-07-07 |
| 1205468907 | Maurice Jones | Nurse Practitioner | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-02-10 |
| 1629610134 | Alicia Lynn Weaver | Dietitian, Registered | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-10-16 |
| 1710529995 | Jules C Martowski | Psychologist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-10-09 |
| 1053968784 | John Claiborne Millar | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-08-19 |
| 1043866049 | Celeste Roberts | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
| 1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
| 1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
| 1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
| Find all providers in zip 29902 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396353736 | Corvus Psychotherapy, LLC | Psychologist | 1114 Battery Creek Rd, Beaufort, SC 29902-6309 | 2020-07-22 |
| 1346781200 | Nancy Polstein | Psychologist | 2 Merchants Ln, Beaufort, SC 29907-8002 | 2017-03-12 |
| 1487961959 | Jennifer Marie Mohorovic | Psychologist | 1114 Battery Creek Road, Beaufort, SC 29902 | 2010-09-07 |
| 1588660146 | Scott Shaffer | Psychologist | 902 North St, Beaufort, SC 29902-5029 | 2005-06-28 |
| 1144678137 | Philip Stanley Davis | Psychologist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2016-05-31 |
| 1881802239 | Melody B. Martini, Psyd., PC | Psychologist | 2201 Boundary St, Suite 307, Beaufort, SC 29902-3860 | 2007-05-18 |
| 1215952700 | Melody B Martini | Psychologist | 2201 Boundary St, Suite 307, Beaufort, SC 29902-3860 | 2006-07-13 |
| 1558340521 | David Philip Matthews | Psychologist | 1 Pinckney Blvd, Naval Hospital Beaufort Attn Profession Affairs Coordin, Beaufort, SC 29902-6122 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181125 | Christopher Moylan | Psychologist | 200 Patewood Dr Bldg A, Greenville, SC 29615-3593 | 2020-10-16 |
| 1861000978 | Lauren Gay Fontenot | Psychologist | 3453 Pelham Rd Ste 107, Greenville, SC 29615-7400 | 2020-07-15 |
| 1306497151 | Susan K Jones LLC | Psychologist | 105 Central Ave Unit 7, Goose Creek, SC 29445-3269 | 2019-09-24 |
| 1518515097 | Warrenetta Crawford Mann | Psychologist | 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 | 2019-08-28 |
| 1881247476 | Reliant Mental Health Services LLC | Psychologist | 221- 223 Adley Way Ste 221, Greenville, SC 29607-6511 | 2019-07-23 |
| 1487212742 | Alysha Buonerba | Psychologist | 211 King St Ste 206, Charleston, SC 29401-3184 | 2019-06-03 |
| 1497212435 | Katherine Elizabeth Bischoff | Psychologist | 388 Huger St, Charleston, SC 29403-4126 | 2019-02-26 |
| 1326512088 | Roper Saint Francis Physicians Network | Psychologist | 2097 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5739 | 2019-01-16 |
| 1861964207 | Erin Joy Schuyler | Psychologist | 26 Barn Owl Ct, Columbia, SC 29209-4488 | 2018-12-26 |
| 1043780653 | Douglas Bennett Silverman | Psychologist | 400 Main St Ste 200a-6, Hilton Head, SC 29926-4610 | 2018-11-27 |
| Find all providers with the same taxonomy | ||||
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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.