PSYCHIATRIC SERVICES, LLC (NPI# 1174890164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174890164 |
| Entity Type | Organization |
| Organization Name | PSYCHIATRIC SERVICES, LLC |
| Practice Address |
506 Lovely Ave Baltic SD 57003-0328 |
| Mailing Address |
506 Lovely Ave P.o. Box 328 Baltic SD 57003-0328 |
| Practice Telephone | 6055295240 |
| Practice Fax Number | 6056101561 |
| Mailing Telephone | 6055295240 |
| Mailing Fax Number | 6056101561 |
| Enumeration Date | 2011-11-19 |
| Last Update Date | 2012-05-30 |
| Authorized Official Name | MRS. BRENDA L JOHNSON (OWNER) |
| Authorized Official Telephone | 6055295240 |
| Authorized Official Credential | MS-CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
CP000650 | SD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 20110813516668 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497016562 | Psychiatric Services, LLC | Clinic/Center | 306 4th St, Suite G, Brookings, SD 57006-1948 | 2012-06-05 |
| 1063743359 | Psychiatric Services, LLC | Nurse Practitioner | 1414 N Nevada Ave, Colorado Springs, CO 80907-7431 | 2010-01-26 |
| 1891929378 | Psychiatric Services, LLC | Counselor | 5000 Park St N, Suite 1019, St Petersburg, FL 33709-2221 | 2009-05-12 |
| Street Address |
506 LOVELY AVE |
| City | BALTIC |
| State | SD |
| Zip Code | 57003-0328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952487811 | Baltic School District | Local Education Agency (LEA) | 1 Bulldog Avenue, Baltic, SD 57003-0309 | 2006-10-31 |
| 1306029137 | Va Hospital | Nursing Facility/Intermediate Care Facility | 532 Aana Ave, Baltic, SD 57003-2033 | 2007-12-15 |
| 1780793976 | Matt D Eggers | Psychiatry & Neurology | 30 N 6th St, Baltic, SD 57003-2047 | 2006-08-30 |
| 1578633160 | Tammy Rae Lias | Marriage & Family Therapist | 47558 254th St, Baltic, SD 57003-5930 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891274833 | Village of Baltic | Ambulance | 101 North Butler, Baltic, OH 43804 | 2018-08-10 |
| 1326327180 | Bobbi J Conner | Nurse's Aide | 203 S Butler St, Baltic, OH 43804-9072 | 2011-08-11 |
| 1841593613 | Sayles School | Registered Nurse | 25 Scotland Rd, Baltic, CT 06330-1110 | 2010-12-16 |
| 1306029137 | Va Hospital | Nursing Facility/Intermediate Care Facility | 532 Aana Ave, Baltic, SD 57003-2033 | 2007-12-15 |
| 1578633160 | Tammy Rae Lias | Marriage & Family Therapist | 47558 254th St, Baltic, SD 57003-5930 | 2006-11-09 |
| 1952487811 | Baltic School District | Local Education Agency (LEA) | 1 Bulldog Avenue, Baltic, SD 57003-0309 | 2006-10-31 |
| 1780793976 | Matt D Eggers | Psychiatry & Neurology | 30 N 6th St, Baltic, SD 57003-2047 | 2006-08-30 |
| 1376547638 | Baltic Health Care Corp | Skilled Nursing Facility | 130 Buena Vista St, Baltic, OH 43804-9091 | 2005-06-02 |
| 1386133122 | Fhs Oakpointe, Inc. | Skilled Nursing Facility | 130 Buena Vista St, Baltic, OH 43804-9091 | 2018-05-08 |
| 1285802090 | Baltic Fire Engine Company No 1 Inc | Ambulance | 1 Main St, Baltic, CT 06330-1320 | 2008-02-14 |
| Find all providers in BALTIC | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1467088088 | Family Connections Counseling LLC | Clinic/Center | 2040 W Main St Ste 306, Rapid City, SD 57702-2447 | 2020-03-15 |
| 1912541921 | Enso Mental Health, LLC | Clinic/Center | 211 N Main St Ste 104, Spearfish, SD 57783-2646 | 2019-11-01 |
| 1538696992 | Bach Counseling Services, LLC | Clinic/Center | 1575 N Lacrosse St Ste H, Rapid City, SD 57701-6969 | 2017-05-16 |
| 1467872101 | Mary T. Guth | Clinic/Center | 1605 E 63rd St, Sioux Falls, SD 57108-4759 | 2014-04-21 |
| 1013283670 | Mark W. Perrenoud Ph.d. Inc. | Clinic/Center | 1818 West Fulton, Suite 201, Rapid City, SD 57702-4347 | 2012-03-28 |
| 1790386050 | The Coping Center | Clinic/Center | 21 Market St, Vermillion, SD 57069-3037 | 2020-11-03 |
| 1578181947 | Schramm Counseling Services | Clinic/Center | 4948 E 57th St, Sioux Falls, SD 57108-8705 | 2020-07-11 |
| 1902422116 | Grace Counseling, LLC | Clinic/Center | 1320 North Ave, Spearfish, SD 57783-1525 | 2020-06-23 |
| 1659994408 | Mindful Dbt, LLC | Clinic/Center | 5708 S Remington Pl Ste 400, Sioux Falls, SD 57108-5160 | 2020-05-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.