SOUTHEASTERN CENTER FOR BEHAVIORAL HEALTH
NPI 1285402180
Psychologist in Columbia, SC

NPI Status: Active since December 20, 2023

Contact Information

1331 ELMWOOD AVE STE 300B
COLUMBIA, SC
ZIP 29201
Phone: (803) 250-5108

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  • Organization
  • Psychologist

About SOUTHEASTERN CENTER FOR BEHAVIORAL HEALTH

This page provides the complete NPI Profile along with additional information for Southeastern Center For Behavioral Health, a provider established in Columbia, South Carolina operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1285402180 assigned on December 2023. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Southeastern Center For Behavioral Health operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Southeastern Center For Behavioral Health. The authorized official of this NPI record is Nick Bagnell (President)

NPI
1285402180
Provider Legal Name
MIDLANDS BEHAVIORAL HEALTH
Other Organization Name
SOUTHEASTERN CENTER FOR BEHAVIORAL HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1331 ELMWOOD AVE STE 300B COLUMBIA, SC 29201
Location Phone
(803) 250-5108
Mailing Address
1331 ELMWOOD AVE STE 300B COLUMBIA, SC 29201
Mailing Phone
(803) 250-5108
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2023
Last Update Date
02-16-2024
Code Navigator

A psychologist like Southeastern Center For Behavioral Health studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

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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

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

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)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
32084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 

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.

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

NICK BAGNELL

Authorized Official Title
PRESIDENT
Authorized Official Phone
(803) 250-5108

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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.
1285402180
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165804116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 8 + 0 + 4 + 1 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1285402180 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

COLUMBIA PSYCHOLOGICAL SERVICES

Psychologist

(Clinical)

1331 ELMWOOD AVE STE 300B
COLUMBIA, SC
ZIP 29201

(803) 250-5109

NICHOLAS BAGNELL PSYD

Psychologist

(Clinical)

1331 ELMWOOD AVE STE 300B
COLUMBIA, SC
ZIP 29201

(803) 250-5109

KATHERINE FORSLUND PSYD

Psychologist

(Clinical)

1331 ELMWOOD AVE STE 300B
COLUMBIA, SC
ZIP 29201

(803) 250-5109

KIAYA A. D. WALTERS LPC

Counselor

(Mental Health)

1331 ELMWOOD AVE STE 300B
COLUMBIA, SC
ZIP 29201

(803) 250-5109

DR. HEIDI DAWN PSYD

Psychologist

1331 ELMWOOD AVE STE 300B
COLUMBIA, SC
ZIP 29201

(803) 200-2601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285402180, enumerated as an "organization" on December 20, 2023.

The provider is located at 1331 ELMWOOD AVE STE 300B COLUMBIA, SC 29201 and the phone number is (803) 250-5108.

Psychologist with taxonomy code 103T00000X.