Pedinet, LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

1020 Issued in SC

Legal business name

PEDINET, LLC

Practice address

34 Heritage Point Dr
Simpsonville, SC 29681-3245

Phone

(864) 704-5534

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mindo J Natale, PSYD

Title

Ceo

Phone

(864) 704-5534

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255460747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 HERITAGE POINT DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 HERITAGE POINT DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813245",
            "telephone_number": "864-704-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDINET, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NATALE",
        "authorized_official_first_name": "MINDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-704-5534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "SC",
            "license": "1020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Clinical Neuropsychologist in South Carolina

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