NPIMap

Organization Active NPI

Mental Health America of SC

  • Community/Behavioral Health Agency
  • North Charleston, SC
National Provider Identifier
1033516067
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1043534191 Issued in SC
Legal business name
MENTAL HEALTH AMERICA OF SC
Practice address
5060 Dorchester Rd
Suite 200
North Charleston, SC 29418-5603
Phone
(843) 974-4686
Fax
(843) 974-4683
NPI assigned
Nov 19, 2014
Last updated
Nov 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Ms. Judith H Anagnos, MED
Title
Area Director
Phone
(843) 974-4686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1043534191 SC Primary

Addresses

Primary practice location

5060 Dorchester Rd
Suite 200
North Charleston, SC 29418-5603

Mailing address

5060 Dorchester Rd
Suite 200
North Charleston, SC 29418-5603
Phone (843) 974-4686

National Provider Directory

National Provider Directory
Tax ID family
Bridges Clubhouse9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5060 Dorchester Rd
Ste 200
North Charleston, SC 29418
Phone (843) 974-4648

Practitioners & affiliated clinicians

Practitioners 3

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": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1033516067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 DORCHESTER RD",
            "address_2": "SUITE 200",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294185603",
            "telephone_number": "843-974-4686",
            "fax_number": "843-974-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 DORCHESTER RD",
            "address_2": "SUITE 200",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294185603",
            "telephone_number": "843-974-4686",
            "fax_number": "843-974-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH AMERICA OF SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "ANAGNOS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "843-974-4686",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "1043534191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.