OrganizationActive
Lantana Psychiatry LLC
NPI 1366013823 · Addiction Medicine (Psychiatry & Neurology) Physician · Mt Pleasant, SC
Provider details
- NPI number
- 1366013823
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carl Dominic Rosa, Board Member(203) 910-4144
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1470 Ben Sawyer Blvd Ste 6
Mt Pleasant, SC 29464-4593
Phone: (843) 352-9982
Street-level locationGet directions
Mailing address
1470 Ben Sawyer Blvd Ste 6
Mt Pleasant, SC 29464-4593
Registry dates
- Enumerated
- 2021-07-06
- Last updated
- 2021-07-06
- Certified
- 2021-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.