Achieve Behavioral Health, LLC
Organization Active NPI Addiction Medicine (Family Medicine) Physician · Greenville, SC
NPI 1285280396 · NPPES record last updated Aug 14, 2019
Key facts
- NPI
- 1285280396
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction Medicine (Family Medicine) Physician 207QA0401X
- Legal business name
- ACHIEVE BEHAVIORAL HEALTH, LLC
- Practice address
- 81 Pointe Cir Ste a
Greenville, SC 29615-3505 - Phone
- (803) 622-5088
- NPI assigned
- Aug 14, 2019
- Organization subpart
- No
Authorized official
- Name
- Patrick Hogan
- Title
- Member
- Phone
- (803) 622-5088
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician |
207QA0401X | Yes |
Addresses
Primary practice location
81 Pointe Cir Ste a
Greenville, SC 29615-3505
Mailing address
81 Pointe Cir Ste a
Greenville, SC 29615-3505
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | inSync |
NPI Registry JSON
{
"created_epoch": "1565740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565740800000",
"number": "1285280396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 POINTE CIR STE A",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 POINTE CIR STE A",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153505",
"telephone_number": "803-622-5088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACHIEVE BEHAVIORAL HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-14",
"last_updated": "2019-08-14",
"status": "A",
"authorized_official_last_name": "HOGAN",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "803-622-5088"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "inSync",
"affiliation": "N",
"endpointDescription": "EMR",
"address_1": "81 Pointe Cir Ste A",
"city": "Greenville",
"state": "SC",
"country_code": "US",
"postal_code": "296153505",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, SC
- Ace of Caring LLC
- Jennifer Acevedo
- Ach Speech Services, LLC
- Achieve Behavioral Health Greenville South Carolina PC
- Achieve Behavioral Health PA
- Achieve MD
- Jerry L Acosta
- Lashunda Acosta
- Rhett Acosta
- Jonathan Joseph Acra
All providers in Greenville, SC · Addiction Medicine (Family Medicine) Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.