LANTANA PSYCHIATRY LLC – NPI #1366013823
Psychiatry & Neurology

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Health Care Provider Taxonomy Code for Psychiatry & Neurology

LANTANA PSYCHIATRY LLC is a psychiatry & neurologist located in MOUNT PLEASANT, SC. NPPES has assigned the NPI number 1366013823 to LANTANA PSYCHIATRY LLC on July 06, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084A0401X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LANTANA PSYCHIATRY LLC below.

NPI Profile for
LANTANA PSYCHIATRY LLC

NPI Number
1366013823
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LANTANA PSYCHIATRY LLC
Primary location
1470 BEN SAWYER BLVD STE 6
MOUNT PLEASANT, SC 29464-4593
Phone: (843) 352-9982 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CARL DOMINIC ROSA
BOARD MEMBER
Phone: (203) 910-4144
Updated
Certification Date
Jul 06, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084A0401X
- Psychiatry & Neurology / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
SECURE EMAIL
Content Type
OTHER
Affiliation
N
Endpoint Location
1470 BEN SAWYER BLVD STE 6,
MT PLEASANT, SC 77025-1669