Active NPI
Psychiatryspace, PC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Aiken, SC
National Provider Identifier
1649071960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- PSYCHIATRYSPACE, PC
- Practice address
- 410 University Parkway
Suite 2300
Aiken, SC 29801-6807 - Phone
- (540) 250-6776
- Fax
- (540) 382-1517
- NPI assigned
- Mar 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stella Bassey, MD
- Title
- Medical Director
- Phone
- (540) 250-6776
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
410 University Parkway
Suite 2300
Aiken, SC 29801-6807
Mailing address
19 Pavilion Lake Rd
North Augusta, SC 29860-7520
Phone (540) 204-8111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742601600000",
"number": "1649071960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 PAVILION LAKE RD",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298607520",
"telephone_number": "540-204-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 UNIVERSITY PARKWAY",
"address_2": "SUITE 2300",
"city": "AIKEN",
"state": "SC",
"postal_code": "298016807",
"telephone_number": "540-250-6776",
"fax_number": "540-382-1517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHIATRYSPACE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-22",
"last_updated": "2025-03-22",
"certification_date": "2025-03-22",
"status": "A",
"authorized_official_last_name": "BASSEY",
"authorized_official_first_name": "STELLA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "540-250-6776",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
- Ashley Jarratt Protzman, NP-C
- Pruitthealth - Aiken, LLC (PruittHealth - Aiken)
- Pruitthealth Home Health, Inc. (PruittHealth Home Health - Aiken)
- Pruitthealth Hospice, Inc. (PruittHealth Hospice - Aiken)
- Ayrin Bradi Dixon Pryor, M.ED., CCC-SLP
- Publix Super Markets Inc (Publix Pharmacy #0506)
- Publix Super Markets, Inc. (Publix Pharmacy #2040)
- Roshini Pudhucode, DO
- Germaine Helen Purcell, RN
- Melissa Puryear, M.S., S.S.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.