NPIMap

Organization Active NPI

Spectrum, Therapy, Assessment, Rehabilitation

  • Intellectual & Developmental Disabilities Psychologist
  • Summerville, SC
National Provider Identifier
1508031006
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
License
2008-071908 Issued in SC
Legal business name
SPECTRUM, THERAPY, ASSESSMENT, REHABILITATION
Practice address
246 Carolinian Dr
Summerville, SC 29485-7854
Phone
(949) 322-6316
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Ms. Zahra June Hajiaghamohseni, M.S.
Title
Behavior Analyst
Phone
(843) 532-8349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TM1800X 2008-071908 SC Primary

Addresses

Primary practice location

246 Carolinian Dr
Summerville, SC 29485-7854

Mailing address

246 Carolinian Dr
Summerville, SC 29485-7854
Phone (949) 322-6316

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Therapy Assessment and Rehabilitation LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1508031006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 CAROLINIAN DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294857854",
            "telephone_number": "949-322-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 CAROLINIAN DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294857854",
            "telephone_number": "949-322-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM, THERAPY, ASSESSMENT, REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "HAJIAGHAMOHSENI",
        "authorized_official_first_name": "ZAHRA",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "843-532-8349",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "SC",
            "license": "2008-071908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.