Organization Active NPI

Fermo Psychiatric Solutions

  • Prescribing (Medical) Psychologist
  • Mount Pleasant, SC
National Provider Identifier
1447644331
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
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

Updated by the provider on Apr 28, 2015

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

Authorized official

Name
Dr. Joli Dawn Fermo, PHARMDNPI 1063027456
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)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
T21081MedicaidSC

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.