The Mary Jenkins Center for Behavioral Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

THE MARY JENKINS CENTER FOR BEHAVIORAL HEALTH LLC

Practice address

3300 W Montague Ave
BLDG a Suite 203
North Charleston, SC 29418-7916

Phone

(843) 740-6999

Fax

(843) 740-5433

NPI assigned

Feb 15, 2007

Last updated

Apr 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Edward Jenkins, M.D.NPI 1861499816

Title

Owner

Phone

(843) 740-6999

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 8

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.

• James Edward Jenkins, MD

  • Psychiatry Physician
  • N Charleston, SC
  • NPI 1861499816
  Authorized official Same address or phone
• Dee Jacobi-Edwards, M.ED., LPTA, LCSW

  • Clinical Social Worker
  • N Charleston, SC
  • NPI 1174654198
  NPD
• John Ross Palmer Sr., LPC

  • Professional Counselor
  • North Charleston, SC
  • NPI 1770253544

  Single Specialty

  NPD
• Douglas Fotia, LISW

  • Counselor
  • North Charleston, SC
  • NPI 1770552283
  NPD (past)
• Harriett Wills Grady-Thomas, LISW

  • Clinical Social Worker
  • Charleston, SC
  • NPI 1649249194
  NPD (past)
• Michael Robert Neboschick, PH.D.

  • Psychologist
  • Charleston, SC
  • NPI 1174603922
  NPD (past)
• Linda A. Thomas, L.I.S.W.

  • Clinical Social Worker
  • Charleston, SC
  • NPI 1124097753
  NPD (past)
• Peter J Sukin, MD

  • Psychiatry Physician
  • Bradenton, FL
  • NPI 1932178787
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1205979630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 W MONTAGUE AVE",
            "address_2": "BLDG A SUITE 203",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294187916",
            "telephone_number": "843-740-6999",
            "fax_number": "843-740-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W MONTAGUE AVE",
            "address_2": "BLDG A SUITE 203",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294187916",
            "telephone_number": "843-740-6999",
            "fax_number": "843-740-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MARY JENKINS CENTER FOR BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-740-6999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "9864",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1861499816",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.