Mental Health America

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

320800000X Issued in SC

Legal business name

MENTAL HEALTH AMERICA

Practice address

200 Claude Bundrick Rd
Blythewood, SC 29016

Phone

(803) 754-5478

NPI assigned

Jan 8, 2010

Organization subpart

Yes

Parent organization

MHAAs reported in NPPES

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

Authorized official

Name

Mrs. Kimberly Hunter, AMINSTRATIVE ASSIST

Title

Director

Phone

(803) 754-5478

Specialties & licenses 1

Addresses

Other names 1

• Kiva Doing business as

Part of

Mental Health America

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1942530233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 WOODLANDS VILLAGE DR",
            "city": "COLUMBIAS",
            "state": "SC",
            "postal_code": "29229",
            "telephone_number": "803-261-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CLAUDE BUNDRICK RD",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "29016",
            "telephone_number": "803-754-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH AMERICA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MHA",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-754-5478",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AMINSTRATIVE ASSIST"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "SC",
            "license": "320800000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiva",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary'S RCF #3
• Benjamin Mathew, PHD
• Ashley Mazzanna, CCC-SLP
• Kelsey Klostermeyer McDill, M.D.
• Christa McLaughlin, MSW
• Mha
• Rutileia Da Silva Michel
• Kendra Marie Suddeth Miller, LISW-CP
• Wendy Monroe
• Andrew L. Moore, P.T.A.

• Mental Illness Community Based Residential Treatment Facility in Blythewood, SC
• Providers in Blythewood, SC by specialty
• Mental Illness Community Based Residential Treatment Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.