Organization Active NPI

Atlantis Psychotherapy and Psychoeducation Center

  • Community/Behavioral Health Agency
  • Spartanburg, SC
National Provider Identifier
1215309869
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6206 Issued in SC
Legal business name
ATLANTIS PSYCHOTHERAPY AND PSYCHOEDUCATION CENTER
Practice address
269 S Church St
Suite 205
Spartanburg, SC 29306-3496
Phone
(980) 307-0720
NPI assigned
Oct 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Mr. Ryan Benson Feemster, M.ED, NCC, LPC-I
Title
Psychotherapist
Phone
(980) 307-0720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6206 SC Primary

Addresses

Primary practice location

269 S Church St
Suite 205
Spartanburg, SC 29306-3496

Mailing address

757 Charleston PL
Duncan, SC 29334-8728
Phone (980) 307-0720

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1215309869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 CHARLESTON PL",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293348728",
            "telephone_number": "980-307-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 S CHURCH ST",
            "address_2": "SUITE 205",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063496",
            "telephone_number": "980-307-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS PSYCHOTHERAPY AND PSYCHOEDUCATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "FEEMSTER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "BENSON",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "980-307-0720",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED, NCC, LPC-I"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "6206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.