PEE DEE MENTAL HEALTH
NPI 1043636046
Clinic/Center - Mental Health (Including Community Mental Health Center) in Lake City, SC
NPI Status: Active since March 14, 2014
Contact Information
675 N MATTHEWS RD
LAKE CITY, SC
ZIP 29560
Phone: (843) 394-7600
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About PEE DEE MENTAL HEALTH
This page provides the complete NPI Profile along with additional information for Pee Dee Mental Health, a provider established in Lake City, South Carolina operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1043636046 assigned on March 2014. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Robin Windham (Ar Supervisor)
- NPI
- 1043636046
- Provider Name
- PEE DEE MENTAL HEALTH
- Entity Type
- Organization
- Location Address
- 675 N MATTHEWS RD LAKE CITY, SC 29560
- Location Phone
- (843) 394-7600
- Mailing Address
- 4 JESSAMINE ST ANDREWS, SC 29510
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-14-2014
- Last Update Date
- 03-14-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 376241 | MEDICAID (05) | SC | |
| 3337 | MEDICARE UPIN (02) | SC |
Reviews for PEE DEE MENTAL HEALTH
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 4 | 3 | 6 | 3 | 6 | 0 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 12 | 3 | 12 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 1 + 2 + 3 + 1 + 2 + 0 + 8 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1043636046 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1861525669 | MS. LAVON TOSHA CAIN M.A. LPC Individual | Counselor (Professional) | 675 N MATTHEWS RD LAKE CITY, SC 29560 (843) 394-7600 |
| 1043343825 | MR. NORMAN G. CREIGHTON MS Individual | Counselor (Mental Health) | 675 N MATTHEWS RD LAKE CITY, SC 29560 (843) 394-7600 |
| 1255455796 | JOANN BOARDS Individual | Counselor | 675 N MATTHEWS RD LAKE CITY, SC 29560 (843) 394-7419 |
| 1972628725 | LASHAWN EMILY BUTLER Individual | Counselor | 675 N MATTHEWS RD LAKE CITY, SC 29560 (843) 394-7419 |
| 1083739775 | MICHELLE MOSES Individual | Counselor | 675 N MATTHEWS RD LAKE CITY, SC 29560 (843) 394-7419 |
| 1174649511 | VICKIE DENSIE REDDEN Individual | Counselor (Mental Health) | 675 N MATTHEWS RD LAKE CITY, SC 29560 (843) 661-4879 |
| 1225154537 | MRS. CLARA GLASSCHO RN,C Individual | Registered Nurse (Psychiatric/Mental Health) | 675 N MATTHEWS RD LAKE CITY, SC 29560 (843) 394-7600 |
| 1578689303 | TIFFANEY MEDINA BROWN Individual | Counselor (Mental Health) | 675 N MATTHEWS RD LAKE CITY, SC 29560 (843) 394-7600 |
| 1598881302 | LAVELLE WEAVER RN Individual | Registered Nurse (Case Management) | 675 N MATTHEWS RD LAKE CITY, SC 29560 (843) 394-7600 |
| 1942328471 | MR. GORDON P. MACKENZIE B.A. Individual | Counselor (Mental Health) | 675 N MATTHEWS RD LAKE CITY, SC 29560 (843) 394-7419 |
| 1699894113 | MISS HARRIET ANNETTE ROSE MASTER OF ART Individual | Counselor (School) | 675 N MATTHEWS RD LAKE CITY, SC 29560 (843) 394-7600 |
| 1770927386 | LINDA TERESA JACKOSN Individual | Counselor (Mental Health) | 675 N MATTHEWS RD LAKE CITY, SC 29560 (843) 394-7600 |
| 1730585779 | REGINA KNIGHT Individual | Counselor (Mental Health) | 675 N MATTHEWS RD LAKE CITY, SC 29560 (843) 394-7600 |
| 1457703332 | JAMEEL PEARSON Individual | Community/Behavioral Health | 675 N MATTHEWS RD LAKE CITY, SC 29560 (843) 394-7600 |
| 1285147124 | LATORIA BLAKE Individual | Counselor (Mental Health) | 675 N MATTHEWS RD LAKE CITY, SC 29560 (843) 394-7600 |
| 1174641666 | PEE DEE MENTAL HEALTH CENTER Organization | Community/Behavioral Health | 675 N MATTHEWS RD LAKE CITY, SC 29560 (843) 394-7600 |
| 1699494328 | CYNDEE IYANA PAGE MSW Individual | Counselor | 675 N MATTHEWS RD LAKE CITY, SC 29560 (843) 394-7600 |
| 1245912534 | T'AUNA HUDSON Individual | Counselor (Mental Health) | 675 N MATTHEWS RD LAKE CITY, SC 29560 (843) 394-7600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043636046, enumerated in the NPI registry as an "organization" on March 14, 2014
The provider is located at 675 N Matthews Rd Lake City, Sc 29560 and the phone number is (843) 394-7600
This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 14, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.