Uderitz Family Psychiatry, LLC
NPI 1477077329ActiveOrganization· Psychiatry & Neurology, Psychiatry· Johns Island, SC
Psychiatry & Neurology, Psychiatry in Johns Island, South Carolina, registered in NPPES in August 2017. The authorized official on file is Daniel Jay Uderitz, MD, Owner - Psychiatrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477077329 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 2, 2017 |
| Last updated in NPPES | Nov 19, 2024 |
| Certified by provider | Nov 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | 34478 | SC |
| Psychiatry & Neurology, Child & Adolescent Psychiatry | 2084P0804X | 34478 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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