DR. ALICIA CLAIRE MOUSSEAU (NPI# 1417503822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417503822 |
| Entity Type | Individual |
| Full Name | DR. ALICIA CLAIRE MOUSSEAU |
| Credential | PH.D. |
| Practice Address |
112 Mousseau Lane Porcupine SD 57772-0184 |
| Mailing Address |
Po Box 184 Porcupine SD 57772-0184 |
| Practice Telephone | 6054552535 |
| Mailing Telephone | 6054552535 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
519 | SD | Behavioral Health & Social Service Providers |
| Street Address |
112 MOUSSEAU LANE |
| City | PORCUPINE |
| State | SD |
| Zip Code | 57772-0184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033266945 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 101 Main Street, Porcupine, SD 57772 | 2007-01-04 |
| 1033219035 | Dialysis Management Group LLC | Clinic/Center | 101 Main Street, Porcupine, SD 57772 | 2006-09-22 |
| 1922318666 | Dialysis Management Group LLC | Clinic/Center | Hcr 49, Porcupine, SD 57772-0000 | 2010-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922318666 | Dialysis Management Group LLC | Clinic/Center | Hcr 49, Porcupine, SD 57772-0000 | 2010-10-15 |
| 1033266945 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 101 Main Street, Porcupine, SD 57772 | 2007-01-04 |
| 1033219035 | Dialysis Management Group LLC | Clinic/Center | 101 Main Street, Porcupine, SD 57772 | 2006-09-22 |
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902203847 | Diana Moore | Psychologist | 1323 Bia Rd. 20, Fort Thomspson, SD 57339 | 2014-11-20 |
| 1225310345 | Erick Messler | Psychologist | 327 Broadway Ave Ste 13, Yankton, SD 57078-7800 | 2011-09-14 |
| 1265764450 | Aaron Lapointe | Psychologist | 1323 Bia Route, Fort Thompson, SD 57339 | 2010-02-12 |
| 1700115904 | Psychology Associates,inc. | Psychologist | 2900 E 26th St Ste 306, Sioux Falls, SD 57103-4060 | 2009-12-17 |
| 1730412867 | Darlene Marie Wilcox | Psychologist | 1723 Brentwood St, Rapid City, SD 57701-0724 | 2009-09-08 |
| 1548409246 | Oliver John Barton | Psychologist | 910 W Havens Ave, Mitchell, SD 57301-3831 | 2009-02-19 |
| 1477700086 | Carver Grupp Psychological Services Inc. | Psychologist | 1818 W Fulton St Ste 201, Rapid City, SD 57702-4347 | 2008-08-26 |
| 1194908889 | Mark C Daniels | Psychologist | 409 S Pine St, Vermillion, SD 57069-3515 | 2007-12-17 |
| 1699982371 | Bradley D. Woldt | Psychologist | 928 4th St, Suite 6, Brookings, SD 57006-2171 | 2007-05-16 |
| 1699810879 | Joel Vincent Merkwan | Psychologist | 327 Broadway Ave Ste 15, Yankton, SD 57078-7800 | 2007-02-21 |
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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.