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

Last updated

Feb 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Cannon Phelps II, D.O.

Title

Psychiatrist

Phone

(843) 400-4089

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Marie Butcher Glavin, MA, LPC, LPCS

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

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

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

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• Kathleen Mueller, LPC
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• Taylor Benoit Mulkey, M.D.

• Psychiatry Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, 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 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.