Mt. Pleasant Psychiatry LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

SC1442.MDO Issued in SC

Legal business name

MT. PLEASANT PSYCHIATRY LLC

Practice address

874 Whipple Rd Ste 200
Mt Pleasant, SC 29464-8901

Phone

(843) 400-4089

Fax

(877) 832-2114

NPI assigned

Feb 13, 2012

Organization subpart

No

Name

Dr. Richard Cannon Phelps II, D.O.

Title

Psychiatrist

Phone

(843) 400-4089

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

• Lisa Marie Butcher Glavin, MA, LPC, LPCS

  • Professional Counselor
  • Mount Pleasant, SC
  • NPI 1538478466
  NPD
• Katherine Marie Bradish, MA, CACI, MAC, LPC

  • Professional Counselor
  • Mt Pleasant, SC
  • NPI 1275916322
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 13, 2012.

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1013280650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 WHIPPLE RD STE 200",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648901",
            "telephone_number": "843-400-4089",
            "fax_number": "877-832-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 WHIPPLE RD STE 200",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648901",
            "telephone_number": "843-400-4089",
            "fax_number": "877-832-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. PLEASANT PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CANNON",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "843-400-4089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "SC1442.MDO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000556470",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kathleen Mueller, LPC
• Donald Muglia, RPH
• Taylor Benoit Mulkey, M.D.

• All providers in Mt Pleasant, SC
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.