Organization Active NPI

SLP Bridge, LLC

  • Psychiatry Physician
  • Daniel Island, SC
National Provider Identifier
1023831773
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SLP BRIDGE, LLC
Practice address
115 Fairchild St Ste 170
Daniel Island, SC 29492-7602
Phone
(803) 339-1563
Fax
(803) 746-7902
NPI assigned
Nov 1, 2024
Last updated
Nov 1, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
DJB MD LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Dr. Stephanie Price, DONPI 1487948774
Title
Physician
Phone
(803) 339-1563

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

115 Fairchild St Ste 170
Daniel Island, SC 29492-7602

Mailing address

115 Fairchild St Ste 170
Daniel Island, SC 29492-7602
Phone (803) 339-1563

Other names 1

  • DJB MD LLC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://bridgespsychiatry.com Direct

National Provider Directory

National Provider Directory
Part of
DJB MD LLC

Locations

115 Fairchild St
Ste 170
Daniel Island, SC 29492
Phone (803) 339-1563

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1023831773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FAIRCHILD ST STE 170",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927602",
            "telephone_number": "803-339-1563",
            "fax_number": "803-746-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FAIRCHILD ST STE 170",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927602",
            "telephone_number": "803-339-1563",
            "fax_number": "803-746-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLP BRIDGE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DJB MD LLC",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "803-339-1563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://bridgespsychiatry.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "psychiatry practice website",
            "address_1": "115 Fairchild St Ste 170",
            "city": "Daniel Island",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294927602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DJB MD LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Daniel Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.