NPIMap

Organization Active NPI

Circlepark Behavioral Health Serices

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Florence, SC
National Provider Identifier
1740250703
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
CIRCLEPARK BEHAVIORAL HEALTH SERICES
Practice address
601 Gregg Avenue
Circle Park Behavioral Health Services
Florence, SC 29502-6196
Phone
(843) 665-9349
Fax
(843) 667-1615
NPI assigned
Jan 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles R Young
Title
Executive Director
Phone
(843) 665-9349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU Primary

Addresses

Primary practice location

601 Gregg Avenue
Circle Park Behavioral Health Services
Florence, SC 29502-6196

Mailing address

601 Gregg Avenue
Circle Park Behavioral Health Services
Florence, SC 29502-6196
Phone (843) 665-9349

National Provider Directory

National Provider Directory
Tax ID family
Circle Park Behavioral Health Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740250703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 GREGG AVENUE",
            "address_2": "CIRCLE PARK BEHAVIORAL HEALTH SERVICES",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295026196",
            "telephone_number": "843-665-9349",
            "fax_number": "843-667-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GREGG AVENUE",
            "address_2": "CIRCLE PARK BEHAVIORAL HEALTH SERVICES",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295026196",
            "telephone_number": "843-665-9349",
            "fax_number": "843-667-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLEPARK BEHAVIORAL HEALTH SERICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-665-9349",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.