TABLE ROCK INTEGRATED HEALTH AND WELLNESS PRACTICE, LLC.
NPI 1104145184
Psychiatry & Neurology - Psychiatry in Travelers Rest, SC
NPI Status: Active since May 31, 2010
Contact Information
5 CENTER ST
TRAVELERS REST, SC
ZIP 29690
Phone: (864) 908-6372
Fax: (864) 898-3703
- Organization
- Psychiatry & Neurology
- Psychiatry
- Accepts Insurance
About TABLE ROCK INTEGRATED HEALTH AND WELLNESS PRACTICE, LLC.
This page provides the complete NPI Profile along with additional information for Table Rock Integrated Health And Wellness Practice, Llc., a provider established in Travelers Rest, South Carolina operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1104145184 assigned on May 2010. The practitioner's primary taxonomy code is 2084P0800X with license number 30719 (SC). The provider is registered as an organization and their NPI record was last updated 6 years ago. Table Rock Integrated Health And Wellness Practice, Llc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Gergana Damianova Dimitrova M.d. (Partner)
- NPI
- 1104145184
- Provider Name
- TABLE ROCK INTEGRATED HEALTH AND WELLNESS PRACTICE, LLC.
- Entity Type
- Organization
- Location Address
- 5 CENTER ST TRAVELERS REST, SC 29690
- Location Phone
- (864) 908-6372
- Location Fax
- (864) 898-3703
- Mailing Address
- 5 CENTER ST TRAVELERS REST, SC 29690
- Mailing Phone
- (864) 908-6372
- Mailing Fax
- (864) 898-3703
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-31-2010
- Last Update Date
- 03-16-2020
- Code Navigator
A psychiatrist like Table Rock Integrated Health And Wellness Practice, Llc. are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
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
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 30719
- License State
- SC
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 1223 (SC) |
| 2 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | 5825 (SC) |
| 3 | 2084P0805X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 30719 (SC) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas 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 Bronze 1 - POS
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Expanded Bronze - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue Reedy Bronze 1 - HMO
- Blue Reedy Bronze 2 - HMO
- Blue Reedy Gold 1 - HMO
- Blue Reedy Silver 1 - HMO
- Blue Reedy Silver 2 - HMO
- Blue Reedy Silver 2 + Adult Vision - HMO
- Blue Reedy Standard Expanded Bronze - HMO
- Blue Reedy Standard Gold - HMO
- Blue Reedy Standard Silver - HMO
- Blue VirtuConnect Bronze 1 - EPO
- Blue VirtuConnect Gold 1 - EPO
- Blue VirtuConnect Silver 1 - EPO
- BlueEssentials Bronze 4 - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104145184, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 46 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104145184, enumerated as an "organization" on May 31, 2010.
The provider is located at 5 CENTER ST TRAVELERS REST, SC 29690 and the phone number is (864) 908-6372.
Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.
The provider might be accepting Accepts: BlueCross BlueShield of South Carolina. Please consult your insurance carrier or call the provider to verify.
