East Cooper Psychiatric Solutions, LLC

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

18143 Issued in SC

Legal business name

EAST COOPER PSYCHIATRIC SOLUTIONS, LLC

Practice address

1073B Johnnie Dodds Blvd
Suite 1 Building F
Mount Pleasant, SC 29464-3155

Phone

(843) 478-8585

NPI assigned

Sep 24, 2009

Organization subpart

No

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

Authorized official

Name

Ricardo Jose Fermo, MD

Title

Medical Doctor/ Psychiatrist

Phone

(843) 478-8585

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1730413634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073B JOHNNIE DODDS BLVD",
            "address_2": "SUITE 1 BUILDING F",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073B JOHNNIE DODDS BLVD",
            "address_2": "SUITE 1 BUILDING F",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643155",
            "telephone_number": "843-478-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COOPER PSYCHIATRIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "FERMO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/ PSYCHIATRIST",
        "authorized_official_telephone_number": "843-478-8585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "SC",
            "license": "25547",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "SC",
            "license": "18143",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "4478",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891892683",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346312568",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386752236",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prescribing (Medical) Psychologist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Prescribing (Medical) Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.