Organization Active NPI

Radford Psychiatry LLC

  • Adult Mental Health Clinic/Center
  • Beaufort, SC
National Provider Identifier
1093977761
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
DO964 Issued in SC
Legal business name
RADFORD PSYCHIATRY LLC
Practice address
2709 Jones Avenue
Beaufort, SC 29902-5325
Phone
(843) 525-0031
Fax
(843) 379-1041
NPI assigned
Jun 25, 2008
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Ann Elizabeth Radford, DONPI 1508849456
Title
Manager
Phone
(843) 379-1041

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
Adult Mental Health Clinic/Center 261QM0850X DO964 SC Primary

Addresses

Primary practice location

2709 Jones Avenue
Beaufort, SC 29902-5325

Mailing address

2709 Jones Avenue
Beaufort, SC 29902-5325
Phone (843) 525-0031

National Provider Directory

National Provider Directory

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": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1093977761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 JONES AVENUE",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025325",
            "telephone_number": "843-525-0031",
            "fax_number": "843-379-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 JONES AVENUE",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025325",
            "telephone_number": "843-525-0031",
            "fax_number": "843-379-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADFORD PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "RADFORD",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-379-1041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "SC",
            "license": "DO964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.