Ichep,LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

20083300132079 Issued in SC

Legal business name

ICHEP,LLC

Doing business as

International Consultant for Health and Educational Psychology

Practice address

3555 Harden Street Ext
Ext., Suite B18
Columbia, SC 29203-6894

Phone

(803) 477-7928

NPI assigned

Jul 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Shaka Abdul Moustafa I, PH.D

Title

Ceo

Phone

(803) 477-7928

Specialties & licenses 1

Addresses

Other names 1

• International Consultant for Health and Educational Psychology Doing business as

Tax ID family

Ichep of Charlotte LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ichep of Charlotte, LLC

  • Professional Counselor
  • Charlotte, NC
  • NPI 1760710412
  NPD tax ID

Locations

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1225290109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CAUGHMAN RIDGE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292080001",
            "telephone_number": "803-477-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 HARDEN STREET EXT",
            "address_2": "EXT., SUITE B18",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036894",
            "telephone_number": "803-477-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICHEP,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "MOUSTAFA",
        "authorized_official_first_name": "SHAKA",
        "authorized_official_middle_name": "ABDUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-477-7928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "SC",
            "license": "20083300132079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "International Consultant for Health and Educational Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hyper V Solutions LLC
• I Am Drea
• Victoria Iacovitti
• Sarah Elizabeth Iannucci, D.O.
• John M Iaquinto, MD
• Ida Mae Homecare Services LLC
• Micael Idani
• Timothy Idiaghe
• Kacey Idouchi
• Ifeoma Ifediba

• Psychiatric Hospital in Columbia, SC
• Providers in Columbia, SC by specialty
• Psychiatric Hospital in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.