| Psychiatryspace, Pc | |
|
410 University Parkway Suite 2300 Aiken SC 29801-6807 | |
| (540) 250-6776 | |
| (540) 382-1517 |
| Full Name | Psychiatryspace, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 410 University Parkway, Aiken, South Carolina |
| Authorized Official Name and Position | Stella Bassey (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5402506776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatryspace, Pc 19 Pavilion Lake Rd North Augusta SC 29860-7520 Ph: (540) 204-8111 | Psychiatryspace, Pc 410 University Parkway Suite 2300 Aiken SC 29801-6807 Ph: (540) 250-6776 |
| NPI Number | 1649071960 |
|---|---|
| Provider Enumeration Date | 03/22/2025 |
| Last Update Date | 03/22/2025 |
| Certification Date | 03/22/2025 |
| Medicare PECOS PAC ID | 8325565583 |
|---|---|
| Medicare Enrollment ID | O20250512000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649071960 | NPI | - | NPPES |
| Provider Name | Stella Ekaette Bassey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821070475 PECOS PAC ID: 8123000387 Enrollment ID: I20250512001927 |
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