Organization Active NPI

Poinsett Psychiatric Innovations,PA

  • Clinic/Center
  • Greenville, SC
National Provider Identifier
1306643978
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
POINSETT PSYCHIATRIC INNOVATIONS,PA
Practice address
414 Pettigru St Ste C
Greenville, SC 29601-3164
Phone
(864) 404-9706
Fax
(864) 438-4744
NPI assigned
Feb 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Ms. Joanne B Gabriel, MBA
Title
Practice Managger
Phone
(864) 404-9706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

414 Pettigru St Ste C
Greenville, SC 29601-3164

Mailing address

414 Pettigru St Ste C
Greenville, SC 29601-3164
Phone (864) 404-9706

National Provider Directory

National Provider Directory

Locations

414 Pettigru St
Ste C
Greenville, SC 29601
Phone (864) 404-9706

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1306643978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PETTIGRU ST STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013164",
            "telephone_number": "864-404-9706",
            "fax_number": "864-438-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 PETTIGRU ST STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013164",
            "telephone_number": "864-404-9706",
            "fax_number": "864-438-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINSETT PSYCHIATRIC INNOVATIONS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRACTICE MANAGGER",
        "authorized_official_telephone_number": "864-404-9706",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.