Centerway Behavioral Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CENTERWAY BEHAVIORAL HEALTH LLC

Practice address

2079 Charlie Hall Blvd
Charleston, SC 29414-5834

Phone

(843) 974-5622

NPI assigned

Aug 17, 2017

Last updated

Jun 11, 2019By 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

Erik Cantrell, MDNPI 1750519948

Title

Founder / Ceo

Phone

(979) 777-1459

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 5

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.

• Erik Dennis Cantrell, MD

  • Psychiatry Physician
  • Charleston, SC
  • NPI 1750519948
  Medicare reassignment Care Compare group NPD Authorized official
• Nicholas Ryan Bart, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Charleston, SC
  • NPI 1013850742
  Medicare reassignment Care Compare group NPD
• Sean Donald Eberhard, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Charleston, SC
  • NPI 1063121044
  Medicare reassignment Care Compare group NPD
• Xelleni Alyanna Pagayon, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Charleston, SC
  • NPI 1639977697
  Medicare reassignment Care Compare group NPD
• Stephen Budd

  • Physician Assistant
  • Charleston, SC
  • NPI 1639981459
  Medicare reassignment NPD

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1023534302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2079 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145834",
            "telephone_number": "843-974-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2079 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145834",
            "telephone_number": "843-974-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERWAY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "FOUNDER / CEO",
        "authorized_official_telephone_number": "979-777-1459",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keerthi Cedeno, MD
• Sarah K Cederholm, MD
• Kelly Fischer Celek, PA-C
• Cem Communications LLC
• Center for Therapeutic Massage
• Centerwell Senior Primary Care (SC) PC (CenterWell Senior Primary Care-West Ashley)
• Joseph Cerenzia
• Leslie Anne S Cerenzia, CRNA
• Jesus Emanuel Cervantes, MD
• CFD Ji LLC

• Psychiatry Physician in Charleston, SC
• Providers in 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 11, 2019; 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.