LIVING WATER MENTAL HEALTH BRAIN TREATMENT CENTER
NPI 1922829365
Psychiatry & Neurology - Psychiatry in Myrtle Beach, SC

Active since October 18, 2024
1086 LONDON ST STE B, MYRTLE BEACH, SC 29577(843) 839-9688 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Living Water Mental Health Brain Treatment Center NPPES

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

LIVING WATER MENTAL HEALTH BRAIN TREATMENT CENTER (NPI 1922829365) is a healthcare organization registered as a psychiatry in Myrtle Beach, South Carolina and active in the NPI registry since October 2024. The organization lists Benjamin Greenzweig, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1922829365
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameLIVING WATER MENTAL HEALTH BRAIN TREATMENT CENTER
Location Address1086 LONDON ST STE BMyrtle Beach, SC 29577-5761
Mailing Address1086 London St Ste BMyrtle Beach, SC 29577-5761 · (843) 938-5913 · Fax (843) 627-4617
Organization SubpartNo
Authorized OfficialBenjamin GreenzweigExecutive Director · (843) 839-9688
Enumeration DateOctober 18, 2024
Last NPPES UpdateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1922829365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
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.
1086 LONDON ST STE B, Myrtle Beach, SC 29577

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Living Water Mental Health Brain Treatment Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Living Water Mental Health Brain Treatment Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1720372667
88 N 1ST ST #15
Brooklyn, NY 11249
(860) 309-8844
✔ PECOS✔ Accepts Medicare549 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Living Water Mental Health Brain Treatment Center's NPI number?

The NPI number for Living Water Mental Health Brain Treatment Center is 1922829365. It was assigned to this organization in the NPPES registry on October 18, 2024.

Where is Living Water Mental Health Brain Treatment Center located?

Living Water Mental Health Brain Treatment Center is located at 1086 London St Ste B, Myrtle Beach, SC 29577. The listed phone number is (843) 839-9688.

What is Living Water Mental Health Brain Treatment Center's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Living Water Mental Health Brain Treatment Center enrolled in Medicare?

Yes. Living Water Mental Health Brain Treatment Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Living Water Mental Health Brain Treatment Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Living Water Mental Health Brain Treatment Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Living Water Mental Health Brain Treatment Center accept?

Health plans from BlueCross BlueShield of South Carolina list Living Water Mental Health Brain Treatment Center 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 Living Water Mental Health Brain Treatment Center was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.