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COASTAL CENTER FOR COGNITIVE THERAPY, PA
NPI 1447436290
Psychologist - Clinical in Myrtle Beach, SC

Active since January 10, 2008
1101 JOHNSON AVE, SUITE 200, MYRTLE BEACH, SC 29577(843) 839-9028(843) 839-9029 Get Directions Write a Review

NPPES record last updated: March 6, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coastal Center For Cognitive Therapy, Pa NPPES

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

COASTAL CENTER FOR COGNITIVE THERAPY, PA (NPI 1447436290) is a healthcare organization registered as a clinical in Myrtle Beach, South Carolina and active in the NPI registry since January 2008. The organization lists Michael M. Grant, President/secretary, as its authorized official.

NPPES Registry Identity

NPI1447436290
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCOASTAL CENTER FOR COGNITIVE THERAPY, PA
Location Address1101 JOHNSON AVE, SUITE 200Myrtle Beach, SC 29577-1660
Mailing Address1101 Johnson Ave, Suite 200Myrtle Beach, SC 29577-1660 · (843) 839-9028 · Fax (843) 839-9029
Phone(843) 839-9028
Fax(843) 839-9029
Organization SubpartNo
Authorized OfficialMichael M. GrantPresident/secretary · (843) 839-9028
Enumeration DateJanuary 10, 2008
Last NPPES UpdateMarch 6, 2009
✔ NPI 1447436290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in SC · 1071
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1101 JOHNSON AVE, Myrtle Beach, SC 29577
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

DR. WILLA FRY AU.D.
Audiologist
1101 JOHNSON AVE, SUITE 204
MYRTLE BEACH, SC 29577
Horry County (843) 477-0177
MRS. JANE PATRICIA FRANKS ANP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1101 JOHNSON AVE
MYRTLE BEACH, SC 29577
Horry County (843) 477-0177
PAUL ANAMA PT
Physical Therapist
1101 JOHNSON AVE, RM 138
MYRTLE BEACH, SC 29577
Horry County (843) 477-0177
MR. FRANKIE MACHADO MILLER II LCSW-C
Social Worker (Clinical)
1101 JOHNSON AVE
MYRTLE BEACH, SC 29577
Horry County (843) 477-0177
DR. KIMBERLY PATRICIA CUDDY PSY.D.
Psychologist (Clinical)
1101 JOHNSON AVE
MYRTLE BEACH, SC 29577
Horry County (843) 232-2423
DANA M STEPHENSON AU.D.
Audiologist
1101 JOHNSON AVE
MYRTLE BEACH, SC 29577
Horry County (843) 477-0177
DR. WALTER N. MALLOY M.D.
Internal Medicine (Cardiovascular Disease)
1101 JOHNSON AVE
MYRTLE BEACH, SC 29577
Horry County (843) 477-0177
RANDALL PAUL GROVE PA
Physician Assistant
1101 JOHNSON AVE
MYRTLE BEACH, SC 29577
Horry County (843) 477-0177

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 Center For Cognitive Therapy, PA's NPI number?

The NPI number for Coastal Center For Cognitive Therapy, PA is 1447436290. It was assigned to this organization in the NPPES registry on January 10, 2008.

Where is Coastal Center For Cognitive Therapy, PA located?

Coastal Center For Cognitive Therapy, PA is located at 1101 Johnson Ave Suite 200, Myrtle Beach, SC 29577. The listed phone number is (843) 839-9028.

What is Coastal Center For Cognitive Therapy, PA's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Coastal Center For Cognitive Therapy, PA was last updated on March 6, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.