Active NPI
Columbia Psychiatric Associates
- Specialist
- Columbia, SC
National Provider Identifier
1720277759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 5816
- Legal business name
- COLUMBIA PSYCHIATRIC ASSOCIATES
- Practice address
- 1333 Taylor St
#4H
Columbia, SC 29201-2923 - Phone
- (803) 779-7500
- Fax
- (803) 779-7522
- NPI assigned
- Oct 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert C. Schnackenberg, MD
- Title
- Psychiatrist
- Phone
- (803) 779-7500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 5816 | SC | Primary |
Addresses
Primary practice location
1333 Taylor St
#4H
Columbia, SC 29201-2923
Mailing address
1333 Taylor St
#4H
Columbia, SC 29201-2923
Phone (803) 779-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 058163 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193961600000",
"number": "1720277759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 TAYLOR ST",
"address_2": "#4H",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012923",
"telephone_number": "803-779-7500",
"fax_number": "803-779-7522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 TAYLOR ST",
"address_2": "#4H",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012923",
"telephone_number": "803-779-7500",
"fax_number": "803-779-7522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIA PSYCHIATRIC ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-16",
"last_updated": "2007-11-02",
"status": "A",
"authorized_official_last_name": "SCHNACKENBERG",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "803-779-7500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "SC",
"license": "5816",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "058163",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
- Columbia Orthopaedic & Spine Institute LLC
- Columbia Orthopaedic Specialists LLC
- Columbia Orthopaedic Specialists LLC
- Columbia Periodontal Assoicates, LLC
- Columbia Psychatric Associates
- Columbia Psychological PA
- Columbia Psychological Services
- Columbia Rehabilitation and Nursing Center-Columbia SC LLC
- Columbia Rehabilitation Clinic
- Columbia Smiles Downtown
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.