Active NPI
Poinsett Psychiatric Group
- Psychiatry Physician
- Greenville, SC
National Provider Identifier
1295930964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 8780
- Legal business name
- POINSETT PSYCHIATRIC GROUP
- Practice address
- 3C Cleveland CT
Greenville, SC 29607-2414 - Phone
- (864) 232-6216
- NPI assigned
- Jun 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patrick B Mullen, MD
- Title
- Owner
- Phone
- (864) 232-6216
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 8780 | SC | Primary |
Addresses
Primary practice location
3C Cleveland CT
Greenville, SC 29607-2414
Mailing address
3C Cleveland CT
Greenville, SC 29607-2414
Phone (864) 232-6216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 238743888 | Other | SC | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
3C Cleveland Ct
Greenville, SC 29607
Phone (864) 232-6216
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Greenville, SC
- NPI 1740378157
-
- Psychologist
- Greenville, SC
- NPI 1457427619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218672000000",
"number": "1295930964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3C CLEVELAND CT",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072414",
"telephone_number": "864-232-6216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3C CLEVELAND CT",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072414",
"telephone_number": "864-232-6216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POINSETT PSYCHIATRIC GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-20",
"last_updated": "2008-08-14",
"status": "A",
"authorized_official_last_name": "MULLEN",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "864-232-6216",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "8780",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "238743888",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
- Jana Podret
- Poff Chiropractic & Rehabilitation LLC
- Daniel John Poff, D.C.
- Poinsett Family Practice
- Poinsett Medical, Inc.
- Poinsett Psychiatric Innovations,PA
- Poinsett Rehabilitation and Healthcare Center, LLC
- Leslie Howard Poinsette, MD
- Michael James Poinsette, M.D.
- Points of Origin Counseling Support & Education Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.