Active NPI
Autism Institute of South Carolina, LLC
- Developmentally Disabled Services Day Training Agency
- Columbia, SC
National Provider Identifier
1962701169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- BACB #1-06-3080
- Legal business name
- AUTISM INSTITUTE OF SOUTH CAROLINA, LLC
- Practice address
- 3924 Forest Dr
Suite #3
Columbia, SC 29204-4150 - Phone
- (803) 790-9975
- NPI assigned
- Mar 28, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patricia Ann Talbert McCarthy, ED.D., BCBA-D
- Title
- Board Certified Behavior Analyst-D
- Phone
- (803) 790-9975
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | BACB #1-06-3080 | Primary |
Addresses
Primary practice location
3924 Forest Dr
Suite #3
Columbia, SC 29204-4150
Mailing address
3949 Kenilworth Rd
Columbia, SC 29205-1503
Phone (803) 790-9975
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EX2148 | Medicaid | SC | |
| EXG320 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
3924 Forest Dr
Ste 3
Columbia, SC 29204
Phone (803) 258-0533
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Oxford, MS
- NPI 1588953954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301270400000",
"number": "1962701169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3949 KENILWORTH RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292051503",
"telephone_number": "803-790-9975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3924 FOREST DR",
"address_2": "SUITE #3",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292044150",
"telephone_number": "803-790-9975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTISM INSTITUTE OF SOUTH CAROLINA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-28",
"last_updated": "2011-03-28",
"status": "A",
"authorized_official_last_name": "MCCARTHY",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "ANN TALBERT",
"authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST-D",
"authorized_official_telephone_number": "803-790-9975",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ED.D., BCBA-D"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": "BACB #1-06-3080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EX2148",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EXG320",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.