Midlands Psychiatric Service, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MIDLANDS PSYCHIATRIC SERVICE, LLC

Practice address

125 Alpine Cir
Columbia, SC 29223-6385

Phone

(803) 779-3548

Fax

(803) 779-7055

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ellie Bryan Mozingo, M.D.

Title

Managing Partner

Phone

(803) 779-3548

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1679782205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ALPINE CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236385",
            "telephone_number": "803-779-3548",
            "fax_number": "803-779-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ALPINE CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236385",
            "telephone_number": "803-779-3548",
            "fax_number": "803-779-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLANDS PSYCHIATRIC SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MOZINGO",
        "authorized_official_first_name": "ELLIE",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "803-779-3548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Columbia, SC
• Providers in Columbia, SC by specialty
• Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.