BEHAVIORAL DIAGNOSTICS, LLC (NPI# 1992063275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992063275 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL DIAGNOSTICS, LLC |
| Practice Address |
108 Stagecoach Ln Orangeburg SC 29118-2499 |
| Mailing Address |
Po Box 1481 Holly Hill SC 29059-1481 |
| Practice Telephone | 8435096819 |
| Practice Fax Number | 8034967237 |
| Mailing Telephone | 8435096819 |
| Mailing Fax Number | 8034967237 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |
| Authorized Official Name | DR. JAMES HOWARD WAY (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 8435096819 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
447 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PS0082 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982921474 | Behavioral Diagnostics, LLC | Behavioral Analyst | 62 West Ave, Crossville, TN 38555-4773 | 2010-04-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BEHAVIORAL DIAGNOSTICS, LLC | 2500 Crosspark Rd Ste W245, Coralville, IA 52241-4710 |
| Iowa Business Entities | BEHAVIORAL DIAGNOSTICS, LLC | 2500 Crosspark Road, Coralville, IA 52241 |
| Street Address |
108 STAGECOACH LN |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29118-2499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268175 | Sharon Y Tremble | Speech-Language Pathologist | 222 Summit Parkway, Orangeburg, SC 29118 | 2020-06-08 |
| 1922658756 | Orangeburg County School District | Local Education Agency (LEA) | 102 Founders Court, Orangeburg, SC 29118 | 2019-09-13 |
| 1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
| 1821572009 | Sharon Fogle | Counselor | 2319 Wt. Matthews Road, Orangeburg, SC 29118 | 2018-09-24 |
| 1104320001 | South Carolina Surgical Pa | Surgery | 3045 St Matthews Road, Orangeburg, SC 29118 | 2018-03-23 |
| 1477056794 | Palmetto Moon Anesthesia, LLC | Anesthesiology | 3045 St. Matthews Rd., Orangeburg, SC 29118 | 2018-03-13 |
| 1730691882 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 125 Kinard St, Orangeburg, SC 29118 | 2017-10-30 |
| 1154862746 | Latasha Hott | Nurse Practitioner | 2323 St. Matthews Rd, Orangeburg, SC 29118 | 2017-03-15 |
| 1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
| 1881977726 | Ontime Transport LLC | Non-emergency Medical Transport (VAN) | 2851 Pelham Ct, Orangeburg, SC 29118 | 2011-09-27 |
| Find all providers in zip 29118 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326091323 | Valerie Louise Holmstrom | Psychologist | 1205 Hutto St, Orangeburg, SC 29118-1454 | 2006-05-18 |
| 1356825202 | Kate Cingel | Psychologist | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2018-09-17 |
| 1629584537 | Rochelle Tziona Schlachter | Psychologist | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2017-12-15 |
| 1548664311 | Priscilla Villavicencio | Psychologist | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2014-10-22 |
| 1831592609 | Jessica Rose Heschel | Psychologist | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2014-10-07 |
| 1316223407 | Monica Carol Zweig | Psychologist | 140 Old Orangeburg Rd, Psychology Department, Orangeburg, NY 10962 | 2011-11-02 |
| 1265664734 | Kelly L Russo | Psychologist | 1767 Village Park Dr, Orangeburg, SC 29118-2475 | 2009-08-18 |
| 1821237389 | Reuben Benjamin Ridgeway | Psychologist | 2323 Saint Matthews Rd, Orangeburg, SC 29118-2042 | 2009-02-06 |
| 1386894673 | Lindsay Werkheiser | Psychologist | 140 Old Orangeburg Rd, Building 60, Orangeburg, NY 10962-1157 | 2008-09-24 |
| 1922149459 | Wayne Robert Le Blanc | Psychologist | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2007-02-09 |
| Find all providers in ORANGEBURG | ||||
| City | ORANGEBURG |
| Zip Code | 29118 |
Please comment or provide details below to improve the information on BEHAVIORAL DIAGNOSTICS, LLC.
| 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.