Active NPI
Deel Behavioral Health Services
- Multi-Specialty Clinic/Center
- Inman, SC
National Provider Identifier
1104643790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- DEEL BEHAVIORAL HEALTH SERVICES
- Practice address
- 165 Stallion Rd Ste a
Inman, SC 29349-8511 - Phone
- (864) 304-5982
- NPI assigned
- Sep 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gerald Orbia Deel, AGPCNP / CLINPSYD
- Title
- Administrator
- Phone
- (864) 304-5982
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
165 Stallion Rd Ste a
Inman, SC 29349-8511
Mailing address
PO Box 587
Inman, SC 29349-0587
Phone (864) 304-5982
Other names 1
- DeelBHS
National Provider Directory
National Provider DirectoryLocations
165 Stallion Rd
Ste A
Inman, SC 29349
Phone (864) 304-5982
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Columbus, NC
- NPI 1740763697
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727136000000",
"number": "1104643790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 587",
"city": "INMAN",
"state": "SC",
"postal_code": "293490587",
"telephone_number": "864-304-5982",
"fax_number": "828-570-5272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 STALLION RD STE A",
"city": "INMAN",
"state": "SC",
"postal_code": "293498511",
"telephone_number": "864-304-5982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEEL BEHAVIORAL HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-24",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A",
"authorized_official_last_name": "DEEL",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "ORBIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "864-304-5982",
"authorized_official_credential": "AGPCNP / CLINPSYD"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DeelBHS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Inman, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.