SOUTHERN PSYCHIATRIC PRACTICE
NPI 1578807483
Clinic/Center - Mental Health (Including Community Mental Health Center) in Rock Hill, SC

Active since November 15, 2012CLIA 42D2057610 · Waiver
2424 INDIA HOOK RD, STE 120, ROCK HILL, SC 29732(803) 328-8255(803) 328-8265 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Psychiatric Practice NPPES

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

SOUTHERN PSYCHIATRIC PRACTICE (NPI 1578807483) is a healthcare organization registered as a mental health (including community mental health center) in Rock Hill, South Carolina and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through March 3, 2027 and lists Tammy T Chen, Owner, as its authorized official.

NPPES Registry Identity

NPI1578807483
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSOUTHERN PSYCHIATRIC PRACTICE
Location Address2424 INDIA HOOK RD, STE 120Rock Hill, SC 29732-2784
Mailing Address2424 India Hook Rd, Ste 120Rock Hill, SC 29732-2784 · (803) 328-8255 · Fax (803) 328-8265
Fax(803) 328-8265
Organization SubpartNo
Authorized OfficialTammy T ChenOwner · (803) 328-8255
Enumeration DateNovember 15, 2012
NPI 1578807483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2424 INDIA HOOK RD, Rock Hill, SC 29732

Other Identifiers 2

Medicare UPINAA4265SC
Medicaid313618SC

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2057610

Southern Psychiatric Practice · Rock Hill, SC
Active · expires Mar 3, 2027
CLIA Number42D2057610
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorTammy T. Chen
Laboratory Phone(803) 328-8255
Laboratory LocationSouthern Psychiatric Practice2424 India Hook Road, Suite 120, Rock Hill, SC 29732
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Psychiatry & Neurology (Psychiatry)
2424 INDIA HOOK RD, SUITE 120
ROCK HILL, SC 29732
Psychiatry & Neurology (Psychiatry)
2424 INDIA HOOK RD
ROCK HILL, SC 29732
Home Health
2424 INDIA HOOK RD, SUITE 130
ROCK HILL, SC 29732
Nurse Practitioner (Acute Care)
2424 INDIA HOOK RD, SUITE 120
ROCK HILL, SC 29732
Community/Behavioral Health
2424 INDIA HOOK RD, SUITE 100
ROCK HILL, SC 29732

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 Southern Psychiatric Practice's NPI number?

The NPI number for Southern Psychiatric Practice is 1578807483. It was assigned to this organization in the NPPES registry on November 15, 2012.

Where is Southern Psychiatric Practice located?

Southern Psychiatric Practice is located at 2424 India Hook Rd Ste 120, Rock Hill, SC 29732. The listed phone number is (803) 328-8255.

What is Southern Psychiatric Practice's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Southern Psychiatric Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2057610) is associated with this NPI, valid through March 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Psychiatric Practice accept?

Health plans from BlueCross BlueShield of South Carolina and Molina Healthcare list Southern Psychiatric Practice as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Psychiatric Practice was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.