ROOT INTEGRATIVE PSYCHIATRY
NPI 1932994696
Clinic/Center - Mental Health (Including Community Mental Health Center) in Mauldin, SC

Active since April 14, 2025
503 S MAIN ST, MAULDIN, SC 29662(864) 662-6840 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Root Integrative Psychiatry NPPES

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

ROOT INTEGRATIVE PSYCHIATRY (NPI 1932994696) is a healthcare organization registered as a mental health (including community mental health center) in Mauldin, South Carolina and active in the NPI registry since April 2025. The organization lists Christina L Blake, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1932994696
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameROOT INTEGRATIVE PSYCHIATRY
Location Address503 S MAIN STMauldin, SC 29662-2204
Mailing Address507 Dunwoody DrSimpsonville, SC 29681-4430 · (843) 816-5660 · Fax (864) 448-1720
Organization SubpartNo
Authorized OfficialChristina L BlakeOwner/provider · (843) 816-5660
Enumeration DateApril 14, 2025
Last NPPES UpdateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
✔ NPI 1932994696 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
503 S MAIN ST, Mauldin, SC 29662

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Root Integrative Psychiatry 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 Root Integrative Psychiatry, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1245765841
106 W GEORGIA RD
Simpsonville, SC 29681
(864) 662-6840
✔ PECOS2.8 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 Root Integrative Psychiatry's NPI number?

The NPI number for Root Integrative Psychiatry is 1932994696. It was assigned to this organization in the NPPES registry on April 14, 2025.

Where is Root Integrative Psychiatry located?

Root Integrative Psychiatry is located at 503 S Main St, Mauldin, SC 29662. The listed phone number is (864) 662-6840.

What is Root Integrative Psychiatry'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.

Is Root Integrative Psychiatry enrolled in Medicare?

Yes. Root Integrative Psychiatry is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Root Integrative Psychiatry?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Root Integrative Psychiatry. 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.

When was this NPI record last updated?

The NPPES record for Root Integrative Psychiatry was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.