NPIMap

Organization Active NPI

South Carolina Dept of Mental Health Accounting Office

  • Psychiatric Hospital
  • Columbia, SC
National Provider Identifier
1295785137
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Practice address
220 Faison Dr
Columbia, SC 29203-3210
Phone
(803) 898-1662
NPI assigned
May 11, 2006
Organization subpart
Yes
Parent organization
SOUTH CAROLINA DEPT OF MENTAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Authorized official

Name
Versie J Bellamy
Title
Deputy Director
Phone
(803) 935-5761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

220 Faison Dr
Columbia, SC 29203-3210

Mailing address

2414 Bull St
Columbia, SC 29201-1906
Phone (803) 898-8405

Other identifiers 2

IdentifierTypeStateIssuer
GP2112MedicaidSC
GP2583MedicaidSC

Other names 1

  • G. Werber Bryan Psychiatric Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031107000041 SC Part B Supplier - Clinic/Group Practice 9032021175 Receives reassigned benefits from 243 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: McCormick, SC; Greenwood, SC; Hartsville, SC; Lake City, SC; Lancaster, SC; Lexington, SC; Manning, SC; Marion, SC…

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory
Part of
Lexington Co Comm Men H

Locations

220 Faison Dr
Columbia, SC 29203
Phone (803) 898-1662

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1295785137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 BULL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011906",
            "telephone_number": "803-898-8405",
            "fax_number": "803-898-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FAISON DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292033210",
            "telephone_number": "803-898-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH CAROLINA DEPT OF MENTAL HEALTH",
        "enumeration_date": "2006-05-11",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "BELLAMY",
        "authorized_official_first_name": "VERSIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "803-935-5761"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2112",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2583",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G. Werber Bryan Psychiatric",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "G. Werber Bryan Psychiatric",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.