Caring Hearts Psychiatric Mental Health Services, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CARING HEARTS PSYCHIATRIC MENTAL HEALTH SERVICES, LLC

Practice address

300 John St Ste 5B
Greer, SC 29651-1463

Phone

(864) 990-5664

Fax

(864) 990-5674

NPI assigned

Aug 6, 2019

Last updated

Oct 11, 2023By 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

Wanda Samake, DNP, PMHNP, FNPNPI 1063561876

Title

President/Pmhnp

Phone

(864) 990-5664

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

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.

• Wanda Sexton Samake, DNP, PMHNP, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Greer, SC
  • NPI 1063561876
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1033764071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25472",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296160472",
            "telephone_number": "864-990-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 JOHN ST STE 5B",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296511463",
            "telephone_number": "864-990-5664",
            "fax_number": "864-990-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HEARTS PSYCHIATRIC MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "SAMAKE",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "PRESIDENT/PMHNP",
        "authorized_official_telephone_number": "864-990-5664",
        "authorized_official_credential": "DNP, PMHNP, FNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Greer, SC
• Providers in Greer, SC by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.