Active NPI
Fermo Psychiatric Solutions
- Prescribing (Medical) Psychologist
- Mount Pleasant, SC
National Provider Identifier
1447644331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- Legal business name
- FERMO PSYCHIATRIC SOLUTIONS
- Practice address
- 887 Johnnie Dodds Blvd
Suite 100
Mount Pleasant, SC 29464-3154 - Phone
- (843) 856-6998
- Fax
- (843) 856-6997
- NPI assigned
- Mar 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joli Dawn Fermo, PHARMD
- Title
- Office Manager
- Phone
- (843) 442-6262
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prescribing (Medical) Psychologist | 103TP0016X | Primary |
Addresses
Primary practice location
887 Johnnie Dodds Blvd
Suite 100
Mount Pleasant, SC 29464-3154
Mailing address
266 N Shelmore Blvd
Mount Pleasant, SC 29464-6609
Phone (843) 856-6998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T21081 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Charleston, SC
- NPI 1063027456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430179200000",
"number": "1447644331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 N SHELMORE BLVD",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294646609",
"telephone_number": "843-856-6998",
"fax_number": "843-856-6997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "887 JOHNNIE DODDS BLVD",
"address_2": "SUITE 100",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643154",
"telephone_number": "843-856-6998",
"fax_number": "843-856-6997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FERMO PSYCHIATRIC SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-27",
"last_updated": "2015-04-28",
"status": "A",
"authorized_official_last_name": "FERMO",
"authorized_official_first_name": "JOLI",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "843-442-6262",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "103TP0016X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Prescribing (Medical)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T21081",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.