Palmetto Psych Services LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PALMETTO PSYCH SERVICES LLC

Doing business as

Inpatient Psychology Solutions

Practice address

9330 Medical Plaza Dr
Charleston, SC 29406-9104

Phone

(706) 831-4837

NPI assigned

Nov 9, 2020

Last updated

Feb 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hetalbabu Thakore

Title

Sole Member

Phone

(203) 901-2493

Specialties & licenses 5

Addresses

Other names 1

• Inpatient Psychology Solutions Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremy B. Hertza, PSY.D

  • Clinical Neuropsychologist
  • Augusta, GA
  • NPI 1528237955

  SC

  Medicare reassignment
• Lance Evans, PHD.

  • Clinical Psychologist
  • Opelika, AL
  • NPI 1235179078
  NPD
• Adam Brett Warshowsky, PH.D.

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1265685853

  Clinical Neuropsychologist

  NPD
• Hetal P Thakore, MD

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1821184540
  NPD (past)

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1427650050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W ONTARIO ST STE 315",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 MEDICAL PLAZA DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069104",
            "telephone_number": "706-831-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PSYCH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "THAKORE",
        "authorized_official_first_name": "HETALBABU",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "203-901-2493"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inpatient Psychology Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Inpatient Psychology Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Palmetto Spine & Sports Medicine, P.a.
• Palmetto Spine & Sports Medicine, PA

• Psychologist in Charleston, SC
• Providers in Charleston, SC by specialty
• Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.