NPIMap

Organization Active NPI

Chrysalis Autism Center

  • Specialist
  • Rock Hill, SC
National Provider Identifier
1568624104
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0-04-1396 Issued in SC
Legal business name
CHRYSALIS AUTISM CENTER
Practice address
410 Oakland Ave Ste 101
Rock Hill, SC 29730
Phone
(803) 792-0771
Fax
(803) 656-0764
NPI assigned
Jun 25, 2008
Last updated
Aug 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Authorized official

Name
Mrs. Toben F. Presler, BCABANPI 1750543153
Title
President
Phone
(803) 367-2261

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
Specialist 174400000X 0-04-1396 SC Primary

Addresses

Primary practice location

410 Oakland Ave Ste 101
Rock Hill, SC 29730

Mailing address

1547 Cherry Rd
Rock Hill, SC 29732-2616
Phone (803) 792-0771

Other identifiers 1

IdentifierTypeStateIssuer
EXG309MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Chrysalis Autism Center2 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.

Locations

1547 Cherry Rd
Rock Hill, SC 29732
Phone (803) 792-0771

Practitioners & affiliated clinicians

Practitioners 42

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 42

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1568624104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 CHERRY RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322616",
            "telephone_number": "803-792-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 OAKLAND AVE STE 101",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29730",
            "telephone_number": "803-792-0771",
            "fax_number": "803-656-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "PRESLER",
        "authorized_official_first_name": "TOBEN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-367-2261",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCABA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "0-04-1396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EXG309",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.