Devine Psychiatry LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

23294 Issued in SC

Legal business name

DEVINE PSYCHIATRY LLC

Doing business as

Columbia Psychiatric Associates

Practice address

1333 Taylor St
Suite 4-H
Columbia, SC 29201-2923

Phone

(803) 779-7500

Fax

(803) 779-7522

NPI assigned

Oct 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Milagros Valentin, M.D.

Title

Psychiatrist

Phone

(803) 779-7500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Columbia Psychiatric Associates Doing business as

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1821286345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 TAYLOR ST",
            "address_2": "SUITE 4-H",
            "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": "SUITE 4-H",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012923",
            "telephone_number": "803-779-7500",
            "fax_number": "803-779-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "VALENTIN",
        "authorized_official_first_name": "MILAGROS",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "803-779-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "SC",
            "license": "23294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232947",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AA05688038 GRP #8038",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Psychiatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew David Dettwiler, D.O.
• Jason Elliott Deusenberry, LPC
• Maxine Deutschendorf, LPC
• Dana Victoria Deveaux
• Devine Eyes Inc
• Kaitlyn Devine
• Grechia Stanley Devito, OPTICIAN
• Charlie W Devlin, MD
• Dagmar M. Devlin, FNP-BC
• Devoted Care and Transition Services-Hospice, LLC

• Exclusive Provider Organization in Columbia, SC
• Providers in Columbia, SC by specialty
• Exclusive Provider Organization in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.