Root Integrative Psychiatry

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ROOT INTEGRATIVE PSYCHIATRY

Practice address

503 S Main St
Mauldin, SC 29662-2204

Phone

(864) 662-6840

NPI assigned

Apr 14, 2025

Last updated

Jul 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christina L Blake, APRNNPI 1245765841

Title

Owner/Provider

Phone

(843) 816-5660

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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.

• Christina L Blake, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Simpsonville, SC
  • NPI 1245765841
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1932994696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 DUNWOODY DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814430",
            "telephone_number": "843-816-5660",
            "fax_number": "864-448-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S MAIN ST",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622204",
            "telephone_number": "864-662-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT INTEGRATIVE PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "843-816-5660",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elemaniel Rivera Labault, RPH
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• Robert L. Coles, DMD
• Erin Rockman, OT
• Alisa Romaso
• Alicia M Ruhland, DNP
• Russell G. Gaddy M.D. (Winchester Family Medicine)
• Sargent Chiropractic Clinic, PC
• Laura Fiona Sazo, BCBA
• Deborah S Scarlett, CCC-SLP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mauldin, SC
• Providers in Mauldin, SC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.