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Contact Information

NORTHEAST PSYCHIATRIC ASSOCIATES
644 REDBANK ROAD
ORANGEBURG, SC29118
 Phone: 803-531-4756
 Fax: 803-531-3180
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for NORTHEAST PSYCHIATRIC ASSOCIATES

NPI Number 1487728051
LBN Legal business name NORTHEAST PSYCHIATRIC ASSOCIATES
Authorized official ROSEN LAWSIN - (OWNER OPERATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2006
Last updated 12/19/2011 - About 14 years ago
Identifiers
SC Medicaid GP1099
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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