NPIMap

Organization Active NPI

Bardin Behavioral Health, LLC

Doing business as Thomas Bardin

  • Behavior Analyst
  • Columbia, SC
National Provider Identifier
1487160602
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-28411 Issued in NU
Legal business name
BARDIN BEHAVIORAL HEALTH, LLC
Doing business as
Thomas Bardin
Practice address
3401 Colonial Dr
Columbia, SC 29203-6934
Phone
(803) 394-5619
Fax
(803) 339-1907
NPI assigned
Dec 26, 2017
Last updated
Jun 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Thomas Joseph Bardin III, BCBANPI 1922477934
Title
Behavior Analyst and Owner
Phone
(803) 394-5619

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
Behavior Analyst 103K00000X 1-17-28411 NU Primary

Addresses

Primary practice location

3401 Colonial Dr
Columbia, SC 29203-6934

Mailing address

3401 Colonial Dr
Columbia, SC 29203-6934
Phone (803) 394-5619

Other identifiers 2

IdentifierTypeStateIssuer
1922477934OtherNPI
14172597OtherCAQH

Other names 1

  • Thomas Bardin Doing business as

National Provider Directory

National Provider Directory

Locations

3401 Colonial Dr
Columbia, SC 29203
Phone (803) 339-1907

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1487160602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 COLONIAL DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036934",
            "telephone_number": "803-394-5619",
            "fax_number": "803-339-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 COLONIAL DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036934",
            "telephone_number": "803-394-5619",
            "fax_number": "803-339-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARDIN BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-26",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "BARDIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST  AND OWNER",
        "authorized_official_telephone_number": "803-394-5619",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-17-28411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922477934",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14172597",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Bardin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.