Dr. Pascale Mardikian, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD29787 Issued in SC

Legal business name

DR. PASCALE MARDIKIAN, LLC

Practice address

9263 Medical Plaza Dr Ste a
North Charleston, SC 29406-7112

Phone

(843) 377-1600

Fax

(843) 377-1601

NPI assigned

Jun 27, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pascale N Mardikian, MDNPI 1649460577

Title

Physician/Psychiatrist

Phone

(843) 377-1600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pascale Nicole Mardikian, M.D.

  • Psychiatry Physician
  • Charleston, SC
  • NPI 1649460577
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1013203132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9263 MEDICAL PLAZA DR STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294067112",
            "telephone_number": "843-377-1600",
            "fax_number": "843-377-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9263 MEDICAL PLAZA DR STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294067112",
            "telephone_number": "843-377-1600",
            "fax_number": "843-377-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PASCALE MARDIKIAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "MARDIKIAN",
        "authorized_official_first_name": "PASCALE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN/PSYCHIATRIST",
        "authorized_official_telephone_number": "843-377-1600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "MD29787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.