NPIMap

Organization Active NPI

Chestnut Hill Mental Health Center, Inc

Doing business as Springbrook Behavioral Health System

  • Behavior Analyst
  • Travelers Rest, SC
National Provider Identifier
1053847285
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CHESTNUT HILL MENTAL HEALTH CENTER, INC
Doing business as
Springbrook Behavioral Health System
Practice address
1 Havenwood LN
Travelers Rest, SC 29690-9447
Phone
(864) 834-8013
NPI assigned
May 9, 2017
Last updated
May 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
David B Burleson
Title
Director of Business Development
Phone
(864) 834-8013

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X SC
Registered Dietitian 133V00000X SC
Internal Medicine Physician 207R00000X SC
Occupational Therapist 225X00000X SC
Speech-Language Pathologist 235Z00000X SC
Behavior Analyst 103K00000X SC Primary
Assistant Behavior Analyst 106E00000X SC
Behavior Technician 106S00000X SC

Addresses

Primary practice location

1 Havenwood LN
Travelers Rest, SC 29690-9447

Mailing address

1 Havenwood LN
Travelers Rest, SC 29690-9447
Phone (864) 834-8013

Other identifiers 1

IdentifierTypeStateIssuer
119917MedicaidSC

Other names 1

  • Springbrook Behavioral Health System Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greenville East Psychiatr5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1 Havenwood Ln
Travelers Rst, SC 29690
Phone (864) 834-8013

NPI Registry JSON

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

{
    "created_epoch": "1494288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1053847285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HAVENWOOD LN",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296909447",
            "telephone_number": "864-834-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAVENWOOD LN",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296909447",
            "telephone_number": "864-834-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT HILL MENTAL HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-09",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "BURLESON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "864-834-8013"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119917",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springbrook Behavioral Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Travelers Rest, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.