Eugene Joseph Paciarelli, Jr. Jr., PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1313 Issued in SC

Practice address

301 Rutherford St Ste D
Greenville, SC 29609-5309

Phone

(864) 417-9668

NPI assigned

Dec 16, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Revolution Psychology, LLC

  • Psychologist
  • Greenville, SC
  • NPI 1346886801

  Clinical

  Medicare reassignment NPD
• St. Francis Hospital, Inc.

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1558305995
  Medicare reassignment NPD
• St Francis Hospital Inc

  dba Bon Secours St. Francis Oncology Specialists

  • Oncology Clinic/Center
  • Greenville, SC
  • NPI 1659175719
  NPD
• St Francis Hospital Inc

  dba St. Francis - Eastside

  • Emergency Medicine Physician
  • Greenville, SC
  • NPI 1780007807
  NPD
• St Francis Physician Services Inc

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295769438
  NPD (past)

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1336478692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16781",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296067781",
            "telephone_number": "864-417-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 RUTHERFORD ST STE D",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296095309",
            "telephone_number": "864-417-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACIARELLI, JR.",
        "first_name": "EUGENE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-16",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3787",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PS0575",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pace to Peace Wellness Collective LLC
• Andrew Schroeder Pace
• Pamela G. Pace, PTA
• Thomas B Pace, M.D.
• Laura Marie Pacholski
• Joshua Pacious
• Shandi Lee Pack, PHARMD
• Jeffry Thomas Packard, RN
• Terry Lee Paden
• Brittany Padgett-Rayburn, BCBA

• Clinical Psychologist in Greenville, SC
• Providers in Greenville, SC by specialty
• Clinical Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.