Elizabeth C. Grueneberger

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

ELIZABETH C. GRUENEBERGER

Practice address

519 Live Oak Dr
Mount Pleasant, SC 29464-4365

Phone

(843) 971-8808

Fax

(843) 971-9636

NPI assigned

Jan 28, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth C Grueneberger, M.D.

Title

Owner

Phone

(843) 971-8808

Specialties & licenses 3

Addresses

Other names 1

• Tidehaven Health Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Dorn Hand, MD

  • Psychiatry Physician
  • Charleston, SC
  • NPI 1891803839
  NPD (past)

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1679930184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 LIVE OAK DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644365",
            "telephone_number": "843-971-8808",
            "fax_number": "843-971-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 LIVE OAK DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644365",
            "telephone_number": "843-971-8808",
            "fax_number": "843-971-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH C. GRUENEBERGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "GRUENEBERGER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-971-8808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "SC",
            "license": "31920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tidehaven Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tidehaven Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Farrah Christiane El Kachbendi
• Kelly Elias
• Ann J Elish, LPC
• Elite Health Solutions LLC
• Elite Healthcare Physical Medicine, LLC
• Elizabeth Dunlap Speech and Stuttering Therapy, LLC
• Elizabeth J. Bjornson, DDS, MHS, PA
• Sarah Elaine Ellis, OTR/L
• Embrace Hospice of the Low Country, LLC
• Brian Emerson

• Child & Adolescent Psychiatry Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Child & Adolescent Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.