NPIMap

Organization Active NPI

Mental Health of America

  • Mental Illness Community Based Residential Treatment Facility
  • Columbia, SC
National Provider Identifier
1730375874
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
CRC1092 Issued in SC
Legal business name
MENTAL HEALTH OF AMERICA
Practice address
1823 Gadsden St
Columbia, SC 29201-2344
Phone
(803) 779-5363
NPI assigned
Sep 21, 2007
Last updated
Sep 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Mrs. Joy Jay
Title
Executuve Director
Phone
(803) 779-5363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X CRC1092 SC Primary

Addresses

Primary practice location

1823 Gadsden St
Columbia, SC 29201-2344

Mailing address

405 Green Rose Rd
Columbia, SC 29229-9102
Phone (803) 419-4241

National Provider Directory

National Provider Directory
Tax ID family
Bridges Clubhouse9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1730375874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 GREEN ROSE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299102",
            "telephone_number": "803-419-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 GADSDEN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012344",
            "telephone_number": "803-779-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "JAY",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "EXECUTUVE DIRECTOR",
        "authorized_official_telephone_number": "803-779-5363",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "SC",
            "license": "CRC1092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.