SANJIN MEDICAL PA
NPI 1144680596
Psychologist - Prescribing (Medical) in Piedmont, SC

NPI Status: Active since February 27, 2016

Contact Information

102 COMMONS BLVD
STE C
PIEDMONT, SC
ZIP 29673
Phone: (864) 220-9115
Fax: (864) 220-9513

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  • Organization
  • Psychologist
  • Prescribing (Medical)
  • Accepts Insurance

About SANJIN MEDICAL PA

This page provides the complete NPI Profile along with additional information for Sanjin Medical Pa, a provider established in Piedmont, South Carolina operating as a Psychologist, focusing in prescribing (medical) . The healthcare provider is registered in the NPI registry with number 1144680596 assigned on February 2016. The practitioner's primary taxonomy code is 103TP0016X with license number 17523 (SC). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dana Wiley Md (President)

NPI
1144680596
Provider Name
SANJIN MEDICAL PA
Entity Type
Organization
Location Address
102 COMMONS BLVD STE C PIEDMONT, SC 29673
Location Phone
(864) 220-9115
Location Fax
(864) 220-9513
Mailing Address
3300 N MAIN ST STE D PMB 171 ANDERSON, SC 29621
Mailing Phone
(864) 220-9115
Mailing Fax
(864) 220-9513
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-27-2016
Last Update Date
02-27-2016
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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

Psychologist Prescribing (Medical)

Taxonomy Code
103TP0016X
Type
Behavioral Health & Social Service Providers
License No.
17523
License State
SC
Taxonomy Description
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • BlueEssentials Catastrophic 1 - EPO
  • BlueEssentials Gold 1 - EPO
  • BlueEssentials Gold 5 - EPO
  • BlueEssentials Silver 14 - EPO
  • BlueEssentials Silver 14 + Adult Vision - EPO
  • BlueEssentials Silver 39 - EPO
  • BlueEssentials Standard Expanded Bronze - EPO
  • BlueEssentials Standard Gold - EPO
  • BlueEssentials Standard Silver - EPO
  • BlueExtend PPO HD Bronze 1 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DANA WILEY MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(864) 220-9115

Reviews for SANJIN MEDICAL PA

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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.
1144680596
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21841280518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 2 + 8 + 0 + 5 + 1 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1144680596 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 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649293085DANA L. WILEY, MD PA
Organization
Counselor (Mental Health)102 COMMONS BLVD SUITE C
PIEDMONT, SC 29673
(864) 220-9115
1144590878DR. YADIRA BAEZ-LOCKARD PSY. D.
Individual
Psychologist (Clinical)102 COMMONS BLVD SUITE C
PIEDMONT, SC 29673
(864) 520-8152
1427006808DR. DANA LEE WILEY MD
Individual
Psychiatry & Neurology (Psychiatry)102 COMMONS BLVD STE C
PIEDMONT, SC 29673
(864) 220-9115
1013710490 CRESCENT SHUBRADA JETER
Individual
Counselor (Mental Health)102 COMMONS BLVD
PIEDMONT, SC 29673
(864) 520-8152

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144680596, enumerated in the NPI registry as an "organization" on February 27, 2016

The provider is located at 102 Commons Blvd Ste C Piedmont, Sc 29673 and the phone number is (864) 220-9115

This medical organization specializes in Psychologist with taxonomy code 103TP0016X with a focus in Prescribing (Medical)

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina. 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 February 27, 2016. 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].
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