AUTISM INSTITUTE OF SOUTH CAROLINA, LLC (NPI# 1962701169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962701169 |
| Entity Type | Organization |
| Organization Name | AUTISM INSTITUTE OF SOUTH CAROLINA, LLC |
| Practice Address |
3924 Forest Dr Suite #3 Columbia SC 29204-4150 |
| Mailing Address |
3949 Kenilworth Rd Columbia SC 29205-1503 |
| Practice Telephone | 8037909975 |
| Mailing Telephone | 8037909975 |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-03-28 |
| Authorized Official Name | DR. PATRICIA ANN TALBERT MCCARTHY (BOARD CERTIFIED BEHAVIOR ANALYST-D) |
| Authorized Official Telephone | 8037909975 |
| Authorized Official Credential | ED.D., BCBA-D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | BACB #1-06-3080 | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | EX2148 | 05 | |
| SC | EXG320 | 05 |
| Street Address |
3924 FOREST DR SUITE #3 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-4150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588953954 | Patricia Ann T Mccarthy | Behavioral Analyst | 3924 Forest Dr, Suite #3, Columbia, SC 29204-4150 | 2011-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538716246 | Sam's Hope, Incorporated | Day Training, Developmentally Disabled Services | 3 Knowlton Rd, Columbia, NJ 07832-2207 | 2019-08-19 |
| 1720448517 | Mountain Top Adult Day Center | Day Training, Developmentally Disabled Services | 1941 Decker Blvd, Columbia, SC 29206-3470 | 2016-03-07 |
| 1326417742 | Ease Healthcare | Day Training, Developmentally Disabled Services | 22 Broadway Village Dr Apt B, Apt B, Columbia, MO 65201-8650 | 2015-09-15 |
| 1568800852 | Monarch | Day Training, Developmentally Disabled Services | 1208 Us Highway 64 E, Columbia, NC 27925-8890 | 2013-06-07 |
| 1073887402 | Rehab Resources, LLC | Day Training, Developmentally Disabled Services | 1669 Grants Road, Columbia, TN 38401 | 2012-03-02 |
| 1285949743 | Express Medical Staffing, Inc. | Day Training, Developmentally Disabled Services | 228 Riser St, Columbia, LA 71418-4335 | 2010-08-09 |
| 1437204492 | Alternative Community Training, Inc. | Day Training, Developmentally Disabled Services | 2200 Burlington St, Columbia, MO 65202-1987 | 2007-01-23 |
| 1548322605 | State of Missouri | Day Training, Developmentally Disabled Services | 1500 Vandiver Dr Ste 100, Columbia, MO 65202-3932 | 2006-12-15 |
| 1104998673 | Cheryl Gajadhar | Day Training, Developmentally Disabled Services | 3830 Davies Dr, Columbia, SC 29223-4709 | 2006-11-14 |
| 1134746365 | A New Horizon, Inc | Day Training, Developmentally Disabled Services | 10320 Little Patuxent Pkwy Ste 200, Columbia, MD 21044-3344 | 2020-07-04 |
| 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.