Active NPI
Behaviors a Go-Go
- Multi-Specialty Clinic/Center
- Greenville, SC
National Provider Identifier
1972165041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- BEHAVIORS A GO-GO
- Practice address
- 511 W Butler Rd
Greenville, SC 29607-4890 - Phone
- (864) 757-9918
- Fax
- (864) 757-9921
- NPI assigned
- Jun 28, 2019
- 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
- Eliza Kathleen McCormick
- Title
- Billing & Credentiaing Manager
- Phone
- (864) 920-2527
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
511 W Butler Rd
Greenville, SC 29607-4890
Mailing address
219 Gerald Dr
Simpsonville, SC 29681-4111
Phone (864) 757-9918
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP7559 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Behaviors a Go-Go
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Professional Counselor
- West Columbia, SC
- NPI 1942943618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561680000000",
"number": "1972165041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 GERALD DR",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296814111",
"telephone_number": "864-757-9918",
"fax_number": "864-757-9921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 W BUTLER RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074890",
"telephone_number": "864-757-9918",
"fax_number": "864-757-9921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIORS A GO-GO",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-28",
"last_updated": "2019-06-28",
"status": "A",
"authorized_official_last_name": "MCCORMICK",
"authorized_official_first_name": "ELIZA",
"authorized_official_middle_name": "KATHLEEN",
"authorized_official_title_or_position": "BILLING & CREDENTIAING MANAGER",
"authorized_official_telephone_number": "864-920-2527"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP7559",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.