Coastal Psychiatry, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

COASTAL PSYCHIATRY, LLC

Practice address

1030 Jenkins Rd
Suite a
Charleston, SC 29407-5704

Phone

(843) 852-0083

Fax

(843) 852-0087

NPI assigned

Jun 27, 2006

Organization subpart

No

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

Authorized official

Name

Sandra H Matthews

Title

Billing Representative

Phone

(843) 532-8549

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Ira Lawrence Rosenshein, M.D.

  • Psychiatry Physician
  • Charleston, SC
  • NPI 1568497394
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1699702654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 JENKINS RD",
            "address_2": "SUITE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075704",
            "telephone_number": "843-852-0083",
            "fax_number": "843-852-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 JENKINS RD",
            "address_2": "SUITE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075704",
            "telephone_number": "843-852-0083",
            "fax_number": "843-852-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "843-532-8549"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3354",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Management Group
• Coastal Neurosurgery and Spine
• Coastal Pediatric Associates, P.a.
• Coastal Pediatric Associates, P.a.
• Coastal Play 2 Grow Therapy, LLC
• Coastal Pulmonary, LLP
• Coastal Vascular & Vein Center, LLC
• Coastal Wound Care, LLC
• William Jonas Coatsworth, MA, LPC, LAC, CAC-II
• Lamor Coaxum

• Psychiatry Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.