Midlands Behavioral Health

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MIDLANDS BEHAVIORAL HEALTH

Doing business as

Southeastern Center for Behavioral Health

Practice address

1331 Elmwood Ave Ste 300B
Columbia, SC 29201-2150

Phone

(803) 250-5108

NPI assigned

Dec 20, 2023

Last updated

Feb 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nick Bagnell

Title

President

Phone

(803) 250-5108

Specialties & licenses 4

Addresses

Other names 1

• Southeastern Center for Behavioral Health Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Bagnell, PSYD

  • Clinical Psychologist
  • Columbia, SC
  • NPI 1497074934
  NPD

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1285402180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 ELMWOOD AVE STE 300B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012150",
            "telephone_number": "803-250-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 ELMWOOD AVE STE 300B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012150",
            "telephone_number": "803-250-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLANDS BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "BAGNELL",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-250-5108"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeastern Center for Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan A Middleton, LPC
• Myia Dejaniera Middleton, RBT
• Midland Ear Nose and Throat
• Midland Hearing Associates
• Midlands at Home Care (None)
• Midlands Cardiology Associates
• Midlands Center for Addiction Treatment
• Midlands Choice Home Care LLC
• Midlands Counseling & Consulting Center , LLC
• Midlands Dental Group, P.L. (Drs. Ellis Green and Green)

• Psychologist in Columbia, SC
• Providers in Columbia, SC by specialty
• Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.