Che Behavioral Health Services of South Carolina, P.C.
Organization Active NPI Clinical Psychologist · Greenville, SC
NPI 1568048833 · NPPES record last updated Nov 10, 2022
Key facts
- NPI
- 1568048833
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- CHE BEHAVIORAL HEALTH SERVICES OF SOUTH CAROLINA, P.C.
- Practice address
- 220 N Main St Ste 500
Greenville, SC 29601-2129 - Phone
- (888) 515-3834
- NPI assigned
- Mar 18, 2021
- Organization subpart
- No
Authorized official
- Name
- Scott Gordon
- Title
- Owner
- Phone
- (888) 515-3843
Practitioners 40
-
Cassandra Shivar Parker, FNP-BC
-
Nnennaya O Agwu, APRN
-
Annemarie Gambla, LPC
-
Amberlee Peace, PA
-
Jill Corrigan, LISW-CP
-
Tina Renell Goethie-Lyons, APRN, MSN, FNP-BC
-
Joseph Marvin Ritchey, LISW-CP
-
Angela Louise Rodiek, MSN
-
Wanda Sexton Samake, DNP, PMHNP, FNP
-
Patricia Simmons, LISW-CP
-
Catherine King Thomas, APRN
-
Latasha Thompson, LISW-CP
-
Vanessa Thompson, PMHNP-GNP-BC
-
Migina Anica Timpson, APRN
-
Dana Lee Wiley, MD
-
Ebony Tiara Wright, MSW, LCSW
-
Jared Williams Atkinson, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210601001981 | SC | Part B Supplier - Clinic/Group Practice | 1759780380 |
Receives reassigned benefits from 37 practitioners Practice locations: Easley, SC; Greenville, SC; Inman, SC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes | ||
| Clinical Social Worker |
1041C0700X | |||
| Psychiatry Physician |
2084P0800X | |||
| Physician Assistant |
363A00000X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
220 N Main St Ste 500
Greenville, SC 29601-2129
Mailing address
PO Box 67084
Newark, NJ 07101-8083
Phone (888) 515-3834
Other providers in Greenville, SC
- Raksha Chatakondi
- Jeffrey A Chaudhari
- Mohammad I. Chaudry
- Frank A Chavez
- Jonathan W Chay
- Carisa Ann Chee
- Susan Reece Cheek-Williams
- Edward William Cheeseman Jr.
- Anjanette Nicole Rose Chege
- Leah Mischa Chelli
All providers in Greenville, SC · Clinical Psychologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.