Active NPI
Yevgeniy Gelfand, MD
- Psychiatry Physician
- Charleston, SC
National Provider Identifier
1013005495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 29076
- Practice address
- 67 President St
Charleston, SC 29425-5712 - Phone
- (843) 792-0111
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 29076 | SC | |
| Geriatric Psychiatry Physician | 2084P0805X | 29076 | SC | |
| Psychiatry Physician | 2084P0800X | 29076 | SC | Primary |
Addresses
Primary practice location
67 President St
Charleston, SC 29425-5712
Mailing address
9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 847-3225
Other practice location 1
9330 Medical Plaza Dr Ste D
Charleston, SC 29406-9104
Phone (843) 847-4372
Other practice location 2
9225 University Blvd Ste C
North Charleston, SC 29406-9149
Phone (843) 847-4377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trident Medical Center, LLC | Past | Accepting new patients |
Interoperability endpoints
- yevgeniy.gelfand@hca5.eclinicaldirectplus.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital Unit
- Charleston, SC
- NPI 1124443478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1013005495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9330 MEDICAL PLAZA DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294069104",
"telephone_number": "843-847-3225",
"fax_number": "843-847-3247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 PRESIDENT ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294255712",
"telephone_number": "843-792-0111"
}
],
"practiceLocations": [
{
"address_1": "9330 Medical Plaza Dr Ste D",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294069104",
"country_code": "US",
"telephone_number": "843-847-4372",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9225 University Blvd Ste C",
"address_purpose": "LOCATION",
"city": "North Charleston",
"state": "SC",
"postal_code": "294069149",
"country_code": "US",
"telephone_number": "843-847-4377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GELFAND",
"first_name": "YEVGENIY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "29076",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "SC",
"license": "29076",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "29076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.