NPIMap

Organization Active NPI

Lifecare Psychology Group, LLC

  • Clinical Psychologist
  • Florence, SC
National Provider Identifier
1295829026
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LIFECARE PSYCHOLOGY GROUP, LLC
Practice address
549 W Evans St
Florence, SC 29501-3407
Phone
(843) 667-4949
Fax
(843) 667-3349
NPI assigned
Oct 3, 2006
Last updated
Apr 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

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

Authorized official

Name
Dr. Seth Rainwater IV, PSYDNPI 1316297120
Title
Managing Partner
Phone
(843) 667-4949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X SC Primary

Addresses

Primary practice location

549 W Evans St
Florence, SC 29501-3407

Mailing address

549 W Evans St
Florence, SC 29501-3407
Phone (843) 667-4949

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050503000403 SC Part B Supplier - Clinic/Group Practice 1850330408 Receives reassigned benefits from 8 practitioners
Practice locations: Florence, SC

National Provider Directory

National Provider Directory

Locations

800 E Cheves St
Ste 390
Florence, SC 29506
Phone (843) 667-4949

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714176000000",
    "number": "1295829026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 W EVANS ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013407",
            "telephone_number": "843-667-4949",
            "fax_number": "843-667-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 W EVANS ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013407",
            "telephone_number": "843-667-4949",
            "fax_number": "843-667-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE PSYCHOLOGY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A",
        "authorized_official_last_name": "RAINWATER",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "843-667-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; 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.