United Healthcare PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

9114 Issued in SC

Legal business name

UNITED HEALTHCARE PC

Practice address

130 Broad St
Sumter, SC 29150-4237

Phone

(803) 774-4377

NPI assigned

Jul 14, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Terrance Wells, LPC-I

Title

Administrator

Phone

(803) 316-9056

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1952530727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504237",
            "telephone_number": "803-774-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504237",
            "telephone_number": "803-774-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-316-9056",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC-I"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "9114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091144",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Sumter, SC
• Providers in Sumter, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.