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)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician
Group: 193400000X SINGLE SPECIALTY GROUP
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

TypeEndpointUseAffiliation
SOAP URL inSync

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 14, 2019.

{
    "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

All providers in Greenville, SC · Addiction Medicine (Family Medicine) Physician in South Carolina

Sources for this page

Verify at the official NPI Registry.