Psych M.D. Associates LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

PSYCH M.D. ASSOCIATES LLC

Practice address

2900 Sunset Blvd
West Columbia, SC 29169-3422

Phone

(866) 796-9911

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Mayank H Dalal, M.D.

Title

Owner

Phone

(803) 772-3130

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1104835537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 ROYAL WOODS DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104464",
            "telephone_number": "803-772-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693422",
            "telephone_number": "866-796-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH M.D. ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "DALAL",
        "authorized_official_first_name": "MAYANK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-772-3130",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.