NPIMap

Organization Active NPI

The Center for Behavioral Medicine

  • Addiction Psychiatry Physician
  • Aiken, SC
National Provider Identifier
1194979401
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
DO 341 Issued in SC
Legal business name
THE CENTER FOR BEHAVIORAL MEDICINE
Practice address
1310 Pine Log Rd
Suite a
Aiken, SC 29803-7890
Phone
(803) 649-1866
Fax
(803) 649-1868
NPI assigned
Nov 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Dr. Ronald Paolini, D.ONPI 1396833620
Title
Owner
Phone
(803) 649-1866

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
Addiction Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0802X DO 341 SC Primary

Addresses

Primary practice location

1310 Pine Log Rd
Suite a
Aiken, SC 29803-7890

Mailing address

1310 Pine Log Rd
Suite a
Aiken, SC 29803-7890
Phone (803) 649-1866

Other identifiers 1

IdentifierTypeStateIssuer
GP0853MedicaidSC

National Provider Directory

National Provider Directory

Locations

1310 Pine Log Rd
Ste A
Aiken, SC 29803
Phone (803) 649-1866

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1194979401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 PINE LOG RD",
            "address_2": "SUITE A",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037890",
            "telephone_number": "803-649-1866",
            "fax_number": "803-649-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 PINE LOG RD",
            "address_2": "SUITE A",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037890",
            "telephone_number": "803-649-1866",
            "fax_number": "803-649-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR BEHAVIORAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "PAOLINI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-649-1866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "SC",
            "license": "DO 341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0853",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.