Berkeley Citizens Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

BERKELEY CITIZENS INC

Practice address

P0 Drawer 429 1301 Old Hwy 52 South
Moncks Corner, SC 29461

Phone

(843) 761-0300

Fax

(843) 761-0303

NPI assigned

Apr 18, 2019

Last updated

May 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Holly A. Frye

Title

Executive Director

Phone

(843) 761-0300

Specialties & licenses 1

Addresses

Tax ID family

Berkeley Citizens Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Berkeley Citizens, Inc.

  • Public Health or Welfare Agency
  • Moncks Corner, SC
  • NPI 1619390481
  NPD tax ID

Locations

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1982267605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P0 DRAWER 429 1301 OLD HWY 52 SOUTH",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "29461",
            "telephone_number": "843-761-0300",
            "fax_number": "843-761-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "P0 DRAWER 429 1301 OLD HWY 52 SOUTH",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "29461",
            "telephone_number": "843-761-0300",
            "fax_number": "843-761-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY CITIZENS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-761-0300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer R. Beaujon, MA, LPC, NCC
• Yongmei Bellack, MA
• Benchmark Healthcare Services LLC
• Holly A. Bender
• Kayla B Bennett
• Berkeley Citizens, Inc.
• Berkeley Community Mental Health Center
• Berkeley County EMS
• Berkeley County EMS (Berkeley County Emergency Medical Services)
• Berkeley County School District

• Early Intervention Provider Agency in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Early Intervention Provider Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.