Organization Active NPI

Community Care Collaborative

  • Behavioral Neurology & Neuropsychiatry Physician
  • Columbia, SC
National Provider Identifier
1518876754
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
COMMUNITY CARE COLLABORATIVE
Practice address
652 Bush River Rd
Columbia, SC 29210-7521
Phone
(803) 254-9767
NPI assigned
Sep 3, 2026
Last updated
Sep 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Debra Bjrok
Title
Owner
Phone
(803) 254-9767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X NU Primary

Addresses

Primary practice location

652 Bush River Rd
Columbia, SC 29210-7521

Mailing address

652 Bush River Rd Ste 203
Columbia, SC 29210-7537

National Provider Directory

National Provider Directory

Locations

652 Bush River Rd
Columbia, SC 29210
Phone (469) 768-0097

652 Bush River Rd
Ste 203
Columbia, SC 29210
Phone (724) 350-0048

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1518876754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 BUSH RIVER RD STE 203",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292107537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 BUSH RIVER RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292107521",
            "telephone_number": "803-254-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "BJROK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-254-9767"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 3, 2026; 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.