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PRISMA HEALTH MARSHALL I PICKENS CHILDRENS
NPI 1295280063
Residential Treatment Facility, Emotionally Disturbed Children in Greenville, SC

Active since August 22, 2016
701 GROVE RD, GREENVILLE, SC 29605(864) 455-7000 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2021, Apr 13, 2020, May 16, 2019 and 1 more (4 updates tracked since 2016).

About Prisma Health Marshall I Pickens Childrens NPPES

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

PRISMA HEALTH MARSHALL I PICKENS CHILDRENS (NPI 1295280063) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Greenville, South Carolina and active in the NPI registry since August 2016. The organization lists Polly H. Miller, Vp Payor Strategies & Alignment, as its authorized official.

NPPES Registry Identity

NPI1295280063
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NamePRISMA HEALTH-UPSTATE
Location Address701 GROVE RDGreenville, SC 29605-4210
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 455-7000
Phone(864) 455-7000
Organization SubpartNo
Authorized OfficialPolly H. MillerVp Payor Strategies & Alignment · (864) 522-2286
Enumeration DateAugust 22, 2016
Last NPPES UpdateFebruary 4, 20214 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2021
✔ NPI 1295280063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in SC · RTF-0031
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
701 GROVE RD, Greenville, SC 29605
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Other Names 1

Doing Business AsPrisma Health Marshall I Pickens Childrens

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.

ABDULLAH DARVESH
Internal Medicine
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-7882
DANIEL RUIZ
Internal Medicine
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-7882
ALAN ROBERT THOMPSON MD
Hospitalist
701 GROVE RD, 5TH FLOOR
GREENVILLE, SC 29605
Greenville County (864) 455-4411
GEORGE R SWEET CRNA
Nurse Anesthetist, Certified Registered
701 GROVE RD, ANESTHESIA DEPT
GREENVILLE, SC 29605
Greenville County (864) 455-7111
CRAIG DOUGLAS YOUNG PHD
Clinical Neuropsychologist
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-7000
JENNIFER WEBB GEORGE CRNA
Nurse Anesthetist, Certified Registered
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-7111
MEENU MARIE VARGHESE D.O.
Internal Medicine
701 GROVE RD, 5TH FLOOR SUPPORT TOWER
GREENVILLE, SC 29605
Greenville County (864) 455-7882
AMANDA TIPTON LARSON CRNA
Nurse Anesthetist, Certified Registered
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 522-2286

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 Prisma Health-Upstate's NPI number?

The NPI number for Prisma Health-Upstate is 1295280063. It was assigned to this organization in the NPPES registry on August 22, 2016. The provider is doing business as Prisma Health Marshall I Pickens Childrens.

Where is Prisma Health-Upstate located?

Prisma Health-Upstate is located at 701 Grove Rd, Greenville, SC 29605. The listed phone number is (864) 455-7000.

What is Prisma Health-Upstate's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Prisma Health-Upstate was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.