Jennifer D Pender, M.D., M.P.H

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

24287 Issued in SC

Practice address

1800 Colonial Dr
William S. Hall Psychiatric Institute Attn: Dr. Pender
Columbia, SC 29203-6827

Phone

(803) 898-1593

Fax

(803) 898-1617

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• South Carolina Dept of Mental Health Accounting Office

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lexington, SC
  • NPI 1841374972
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1356470264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COLONIAL DR",
            "address_2": "WILLIAM S. HALL PSYCHIATRIC INSTITUTE ATTN: DR. PENDER",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036827",
            "telephone_number": "803-898-1593",
            "fax_number": "803-898-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COLONIAL DR",
            "address_2": "WILLIAM S. HALL PSYCHIATRIC INSTITUTE ATTN: DR. PENDER",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036827",
            "telephone_number": "803-898-1593",
            "fax_number": "803-898-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDER",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "credential": "M.D., M.P.H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SC",
            "license": "24287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242874",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Patrick Pellicer, MRC, LPC
• Joseph David Pemberton, CRT
• Bradley Raymond Pender, MD
• Dawn Elizabeth Pender, APRN-BC
• Jaedyn Tyler Pender
• Jakayla Pendergrass, RBT
• Kimberly Nicole Pendergrass, M.A. CCC-SLP
• Shauna Briawn Pendergrass, M.R.C
• Ronald Francis Pendleton, DO
• Genevieve Roxanne Penland, MHS, OTR/L

• Child & Adolescent Psychiatry Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Child & Adolescent Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.