Individual provider Active NPI

Marian Dehlinger, MD

  • Psychiatry Physician
  • Sumter, SC
National Provider Identifier
1720104565
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
19935 Issued in SC
Practice address
411B N. Salem Avenue
Sumter, SC 29151
Phone
(803) 774-2103
Fax
(803) 774-2105
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 19935 SC Primary

Addresses

Primary practice location

411B N. Salem Avenue
Sumter, SC 29151

Mailing address

215 N. Magnolia St.
Sumter, SC 29151-4943
Phone (803) 775-9364

Other names 1

  • Ms. Marian Peseckis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050203000250 SC Practitioner - Psychiatry 4385695741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Temple University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Carolina Dept of Mental Health Accounting OfficeGroup PAC ID 9032021175, 226 clinicians

Practice addresses (Care Compare)

801 N Pike W
Sumter, SC 29153-1906
Phone (803) 775-9364

817 Brown St
Bishopville, SC 29010-1178
Phone (803) 484-9414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19935SCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Feb 24, 1998 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Feb 24, 1998 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
Horizon Mental Health Management LLC Psychiatry Past Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients
South Carolina Dept of Mental Health Accounting Office Psychiatry Past Accepting new patients
Senior Psych Solutions Corp Past Accepting new patients

Locations

817 Brown St
Bishopville, SC 29010
Phone (803) 484-9414

125 E Robinson St
Gaffney, SC 29340
Phone (864) 487-2710

900 S 4th St
Hartsville, SC 29550
Phone (843) 332-4141

411 N Salem Ave
#B
Sumter, SC 29150
Phone (803) 774-2103

215 N Magnolia St
Sumter, SC 29150

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1720104565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N. MAGNOLIA ST.",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291514943",
            "telephone_number": "803-775-9364",
            "fax_number": "803-773-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411B N. SALEM AVENUE",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "29151",
            "telephone_number": "803-774-2103",
            "fax_number": "803-774-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHLINGER",
        "first_name": "MARIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "19935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAN",
            "last_name": "PESECKIS",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.