Bianca Jardin, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1285 Issued in SC

Practice address

1050 Johnnie Dodds Blvd., # 2381
Mount Pleasant, SC 29465-2381

Phone

(812) 401-0941

Fax

(843) 480-9579

NPI assigned

Nov 18, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bianca Jardin PHD LLC

  • Psychologist
  • Mount Pleasant, SC
  • NPI 1033653910
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1285064956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 JOHNNIE DODDS BLVD., # 2381",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294652381",
            "telephone_number": "812-401-0941",
            "fax_number": "843-480-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 JOHNNIE DODDS BLVD., # 2381",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294652381",
            "telephone_number": "812-401-0941",
            "fax_number": "843-480-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARDIN",
        "first_name": "BIANCA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PS0540",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candra Gilliard James, LPC
• Mary Henderson James, MD
• Olivia Louise Jandl, PA-C
• Sara Janosik, OT
• Lauren Jarboe
• Erin Jarrett, RN
• Avery Lauren Jarvis
• Courtney Izzo Jarvis, PHARMD
• Damian Jasik, DDS
• Jason S. Annan, DDS LLC

• Clinical Psychologist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Clinical Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.