PROF. MARY ELLEN WARREN (NPI# 1902904477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902904477 |
| Entity Type | Individual |
| Full Name | PROF. MARY ELLEN WARREN |
| Other Name | MARY BREWSTER |
| Credential | PHD |
| Practice Address |
3555 Harden Street Ext Ste 300 Columbia SC 29203-6894 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8034344300 |
| Practice Fax Number | 8034344351 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
633 | SC | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
633 | SC | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
633 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PS0409 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770085227 | Mary Warren | Physical Therapist | 21260 Coolidge Hwy, Berkley, MI 48073 | 2018-03-01 |
| 1649608902 | Mary Jo Warren | Registered Nurse | 1616 E 67th St, Tacoma, WA 98404-4254 | 2013-10-24 |
| 1770884876 | Mary Amanda Warren | Occupational Therapist | 2864 Dav Avenue, Morganton, NC 28655 | 2010-11-06 |
| 1558678904 | Mary R. Warren | Occupational Therapist | 2590 W Seneca Tpke, Marcellus, NY 13108-9735 | 2010-09-07 |
| 1548366446 | Mary Rita Warren | Dentist | 461 Forest Trl, New Braunfels, TX 78132-4624 | 2006-09-16 |
| 1396768263 | Mary Warren | Occupational Therapist | 10233 W Greenfield Ave, Milwaukee, WI 53214-3911 | 2006-07-25 |
| 1336168194 | Mary L Warren | Psychologist | 161 Saint Matthews Ave, Suite 17, Louisville, KY 40207-3145 | 2006-07-19 |
| 1205872892 | Mary Hearn Warren | Social Worker | 3349 N University Dr, Suite 4, Davie, FL 33024-9000 | 2006-06-21 |
| 1124002415 | Mary H Warren | Registered Nurse | 5 Pine Street Ext, #6 Mill Annex Suite K, Nashua, NH 03060-3213 | 2005-12-01 |
| 1962929521 | Mary Lauren Warren | Pharmacist | 2173 S Lamar Blvd, Oxford, MS 38655-5223 | 2017-08-24 |
| Street Address |
3555 HARDEN STREET EXT STE 300 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6894 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541040 | Charles A Burgess | Psychologist | 119 Parker Hall, Columbia, MO 65211-2340 | 2020-08-31 |
| 1851910335 | Columbia Psychology Healing Center LLC | Psychologist | 1900 N Providence Rd Ste 327, Columbia, MO 65202-3710 | 2020-04-14 |
| 1518515097 | Warrenetta Crawford Mann | Psychologist | 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 | 2019-08-28 |
| 1528523420 | Daniel Franco | Psychologist | 4501 Kentsfield Ln, Columbia, MO 65201-3587 | 2019-02-05 |
| 1861964207 | Erin Joy Schuyler | Psychologist | 26 Barn Owl Ct, Columbia, SC 29209-4488 | 2018-12-26 |
| 1467944439 | Zixuan Wang | Psychologist | 10000 Town Center Ave Apt 434, Columbia, MD 21044-5447 | 2018-06-05 |
| 1366990384 | Amanda Marie Jones | Psychologist | 6851 Oak Hall Ln Ste 118, Columbia, MD 21045-5815 | 2016-09-19 |
| 1124574850 | Patrick Steele | Psychologist | 1531 Laurel St, Columbia, SC 29201 | 2016-09-01 |
| 1073968061 | Tara Acevedo, Psy.d., PC | Psychologist | 6213 Deep Earth Ln, Columbia, MD 21045-2565 | 2016-04-27 |
| 1467833798 | Matthew Edmond Fitzgerald | Psychologist | 6801 Oak Hall Ln # 2254, Columbia, MD 21045-9998 | 2015-06-11 |
| 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.