NPIMap

Organization Active NPI

McCulloh Therapeutic Solutions

  • Speech-Language Pathologist
  • Spartanburg, SC
National Provider Identifier
1710030143
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MCCULLOH THERAPEUTIC SOLUTIONS
Practice address
2400 Winchester PL
Suite 102 a
Spartanburg, SC 29301-1518
Phone
(864) 576-7188
NPI assigned
Jan 19, 2007
Last updated
May 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Carol C Davis
Title
Business Manager
Phone
(864) 921-3793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

2400 Winchester PL
Suite 102 a
Spartanburg, SC 29301-1518

Mailing address

220 Park Gate Rd
Gaffney, SC 29341-5219
Phone (864) 921-3793

Other identifiers 1

IdentifierTypeStateIssuer
GP4313MedicaidSC

National Provider Directory

National Provider Directory

Locations

420 The Pkwy
Ste M
Greer, SC 29650
Phone (864) 244-3474

2400 Winchester Pl
Ste 102A
Spartanburg, SC 29301
Phone (864) 244-3474

2500 Winchester Pl
Ste 100
Spartanburg, SC 29301
Phone (864) 574-7282

Practitioners & affiliated clinicians

Practitioners 12

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1710030143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 PARK GATE RD",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293415219",
            "telephone_number": "864-921-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WINCHESTER PL",
            "address_2": "SUITE 102 A",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011518",
            "telephone_number": "864-576-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLOH THERAPEUTIC SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "864-921-3793"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4313",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.