OrganizationActive
Rupa Shetty LLC
NPI 1205137817 · Child & Adolescent Psychiatry Physician · Myrtle Beach, SC
Provider details
- NPI number
- 1205137817
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Ryba, Member(843) 461-6133
- License
- 27604 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
237 Avenue of the Palms
Myrtle Beach, SC 29579-1247
Phone: (843) 461-6133
Fax: (843) 234-6100
Street-level locationGet directions
Mailing address
237 Avenue of the Palms
Myrtle Beach, SC 29579-1247
Registry dates
- Enumerated
- 2010-11-12
- Last updated
- 2011-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.