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COASTAL PEDIATRIC ASSOCIATES, P.A.
NPI 1083110019
Psychologist - Health Service in Charleston, SC

Active since March 30, 2018
2051 CHARLIE HALL BLVD, CHARLESTON, SC 29414(843) 737-9467(843) 371-5507 Get Directions Write a Review

NPPES record last updated: March 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Pediatric Associates, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL PEDIATRIC ASSOCIATES, P.A. (NPI 1083110019) is a healthcare organization registered as a health service in Charleston, South Carolina and active in the NPI registry since March 2018. The organization lists Dana Wolf, Director Of Quality Programs, as its authorized official.

NPPES Registry Identity

NPI1083110019
Entity TypeOrganization
Primary Taxonomy103TH0100X
Legal Business NameCOASTAL PEDIATRIC ASSOCIATES, P.A.
Location Address2051 CHARLIE HALL BLVDCharleston, SC 29414-5834
Mailing Address2051 Charlie Hall BlvdCharleston, SC 29414-5834 · (843) 737-9467 · Fax (843) 371-5507
Phone(843) 737-9467
Fax(843) 371-5507
Organization SubpartNo
Authorized OfficialDana WolfDirector Of Quality Programs · (843) 284-4258
Enumeration DateMarch 30, 2018
✔ NPI 1083110019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
2051 CHARLIE HALL BLVD, Charleston, SC 29414
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN SLAGEL GARRETT CPNP
Nurse Practitioner (Pediatrics)
2051 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 573-2535
JOY ANN LAUERER DNP PMHCNS APRN
Nurse Practitioner (Psychiatric/Mental Health)
2051 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 573-2535
FRANCES K PORCHER EDD, RN, CPNP
Nurse Practitioner (Pediatrics)
2051 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 573-2535
MRS. ERIN MCNEELY HILL CPNP-PC
Nurse Practitioner (Pediatrics)
2051 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 573-2535
MRS. LINDSEY HAILEY HARRIS NP
Nurse Practitioner (Pediatrics)
2051 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 573-2535
MRS. KARA BLEVENS HUNCIK M.D.
Pediatrics
2051 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 573-2535
SARAH FRENCH CONRAD RN
Nurse Practitioner (Pediatrics)
2051 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 573-2535
DR. FRANKLIN CARVER LEE M.D.
Pediatrics
2051 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 573-2535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Pediatric Associates, P.A.'s NPI number?

The NPI number for Coastal Pediatric Associates, P.A. is 1083110019. It was assigned to this organization in the NPPES registry on March 30, 2018.

Where is Coastal Pediatric Associates, P.A. located?

Coastal Pediatric Associates, P.A. is located at 2051 Charlie Hall Blvd, Charleston, SC 29414. The listed phone number is (843) 737-9467.

What is Coastal Pediatric Associates, P.A.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Coastal Pediatric Associates, P.A. was last updated on March 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.