Active NPI
Achieve Behavioral Health PA
Doing business as Vertical Treatment Centers Columbia
- Addiction Medicine (Family Medicine) Physician
- Irmo, SC
National Provider Identifier
1114645173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- Legal business name
- ACHIEVE BEHAVIORAL HEALTH PA
- Doing business as
- Vertical Treatment Centers Columbia
- Practice address
- 108 Oak Park Dr Ste C
Irmo, SC 29063-6109 - Phone
- (864) 991-8884
- NPI assigned
- Aug 16, 2022
- Last updated
- Sep 7, 2022
- Organization subpart
- Yes
- Parent organization
- ACHIEVE BEHAVIORAL HEALTH PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Powell, MD
- Title
- President, Treasurer, Secretary
- Phone
- (603) 828-3759
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | ||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | NU | Primary |
Addresses
Primary practice location
108 Oak Park Dr Ste C
Irmo, SC 29063-6109
Mailing address
142 Milestone Way
Greenville, SC 29615-5065
Other names 1
- Vertical Treatment Centers Columbia
National Provider Directory
National Provider Directory- Tax ID family
- Achieve Behavioral Health PA
- Part of
- Achieve Behavioral Health PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction Medicine (Family Medicine) Physician
- Clinton, SC
- NPI 1538804612
Locations
108 Oak Park Dr
Ste C
Irmo, SC 29063
Phone (864) 991-8884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662508800000",
"number": "1114645173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 MILESTONE WAY",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296155065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 OAK PARK DR STE C",
"city": "IRMO",
"state": "SC",
"postal_code": "290636109",
"telephone_number": "864-991-8884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACHIEVE BEHAVIORAL HEALTH PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ACHIEVE BEHAVIORAL HEALTH PA",
"enumeration_date": "2022-08-16",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A",
"authorized_official_last_name": "POWELL",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "PRESIDENT, TREASURER, SECRETARY",
"authorized_official_telephone_number": "603-828-3759",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vertical Treatment Centers Columbia",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Vertical Treatment Centers Columbia",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Irmo, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.