Organization Active NPI

Autism Institute of South Carolina, LLC

  • Developmentally Disabled Services Day Training Agency
  • Columbia, SC
National Provider Identifier
1962701169
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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

Updated by the provider on Mar 28, 2011

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-DNPI 1588953954
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
EX2148MedicaidSC
EXG320MedicaidSC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.