Active NPI
Tyler Hinchcliff
- Behavior Technician
- Summerville, SC
National Provider Identifier
1063241990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-363234
- Practice address
- 328 Glen St
Summerville, SC 29483-4653 - Phone
- (843) 303-7292
- NPI assigned
- Jul 30, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-363234 | SC | Primary |
Addresses
Primary practice location
328 Glen St
Summerville, SC 29483-4653
Mailing address
2202 Poplar Grove PL
Summerville, SC 29483-1611
Phone (843) 303-7292
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.sanford.html | Health Information Exchange (HIE) | Building Independence Together |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-363234 | SC | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Building Independence Together | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmental Disabilities Clinic/Center
- Summerville, SC
- NPI 1083412860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1063241990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 POPLAR GROVE PL",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294831611",
"telephone_number": "843-303-7292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 GLEN ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294834653",
"telephone_number": "843-303-7292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINCHCLIFF",
"first_name": "TYLER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-30",
"last_updated": "2024-07-30",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "SC",
"license": "RBT-24-363234",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "Y",
"affiliationName": "Building Independence Together",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Used to create a secure database for recors reguarding client information, health information, and other personal informaiton",
"address_1": "328 Glen St",
"city": "Summerville",
"state": "SC",
"country_code": "US",
"postal_code": "294834653",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.