Daniel Uderitz, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

34478 Issued in SC

Practice address

3227 Walter Dr Ste 3B
Johns Island, SC 29455-8171

Phone

(843) 872-5454

Fax

(843) 872-5501

NPI assigned

Jun 25, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Medical University of South Carolina College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

South Carolina Dept of Mental Health Accounting OfficeGroup PAC ID 9032021175, shared by 11 NPIs, 226 clinicians

Uderitz Family Psychiatry LLCGroup PAC ID 8325313851, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Uderitz Family Psychiatry, LLC

  • Psychiatry Physician
  • Johns Island, SC
  • NPI 1477077329
  Medicare reassignment Care Compare group NPD Authorized official
• Mdaspect SC

  • Psychiatry Physician
  • Mount Pleasant, SC
  • NPI 1013550169
  Medicare reassignment NPD
• South Carolina Dept of Mental Health Accounting Office

  • Primary Care Nurse Practitioner
  • Bennettsville, SC
  • NPI 1295332690
  Medicare reassignment NPD
• South Carolina Dept of Mental Health Accounting Office

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Conway, SC
  • NPI 1356397228
  Medicare reassignment NPD
• South Carolina Dept of Mental Health Accounting Office

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orangeburg, SC
  • NPI 1164457735
  NPD

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1295963437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 WALTER DR STE 1B",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558171",
            "telephone_number": "843-872-5454",
            "fax_number": "843-872-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 WALTER DR STE 3B",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558171",
            "telephone_number": "843-872-5454",
            "fax_number": "843-872-5501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 Lake Hunter Cir Ste 1A",
            "address_2": "Coastal Tides Counseling, LLC",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294645426",
            "country_code": "US",
            "telephone_number": "843-881-4117",
            "fax_number": "843-881-4155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3227 Walter Dr Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Johns Island",
            "state": "SC",
            "postal_code": "294558171",
            "country_code": "US",
            "telephone_number": "843-872-5454",
            "fax_number": "843-872-5501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDERITZ",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SC",
            "license": "34478",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "34478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrive Health & Wellness LLC
• Tiller Behavioral Solutions
• Andrew Tubis, PT, DPT
• Tupelo Pond LLC
• Uderitz Family Psychiatry, LLC
• Christopher Ursu, DC
• Furtuna Velaj
• Morgan Verhage
• Village Dentistry, PA
• Village Optical LLC

• Psychiatry Physician in Johns Island, SC
• Providers in Johns Island, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.