MEDITELECARE OF SOUTH DAKOTA, LLC (NPI# 1467077511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467077511 |
| Entity Type | Organization |
| Organization Name | MEDITELECARE OF SOUTH DAKOTA, LLC |
| Practice Address |
503 S Pierre St Pierre SD 57501-4522 |
| Mailing Address |
Po Box 1595 Middletown CT 06457-8095 |
| Practice Telephone | 8607886404 |
| Practice Fax Number | 8608290495 |
| Mailing Telephone | 8607886404 |
| Mailing Fax Number | 8608290495 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |
| Authorized Official Name | TERESA TROJANOWSKI (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Telephone | 8607886404 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
503 S PIERRE ST |
| City | PIERRE |
| State | SD |
| Zip Code | 57501-4522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518420694 | Shawna K Fullerton | Social Worker | 1309 E Wells Ave, Pierre, SD 57501 | 2019-04-07 |
| 1841779758 | Joanne Sarringar | Physical Therapist | 801 E. Sioux Avenue, Pierre, SD 57501 | 2018-08-10 |
| 1003234832 | Katherine Bonnichsen | Dermatology | Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave, Pierre, SD 57501 | 2014-03-29 |
| 1417232166 | Louis J Van Roekel | Pharmacist | 100 E Sioux, Pierre, SD 57501 | 2011-10-13 |
| 1508164401 | Bechtold Thompson Dental Clinic | Dentist | 640 E. Sioux Ave, Pierre, SD 57501 | 2011-03-02 |
| 1417180969 | Dentistry At The St. Charles LLC | Dentist | 207 E. Capitol Ave. Ste 201, Pierre, SD 57501 | 2009-09-01 |
| 1063663995 | Buron O. Lindbloom | Family Medicine | 3200 E. Hwy 34, S.d. Womens Prison, Pierre, SD 57501 | 2008-10-09 |
| 1831221522 | Curt C Kuehl | Chiropractor | 430 W Sioux Ave, Pierre, SD 57501 | 2007-03-09 |
| 1376603092 | Tim Wald | Physical Therapist | 1012 Woodview Dr #20, Pierre, SD 57501 | 2006-12-11 |
| 1184702540 | Tami Lynn Hogie-lorenzen | Nurse Practitioner | 1714 Abbey Road, Pierre, SD 57501 | 2006-11-02 |
| Find all providers in zip 57501 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477681666 | Ulises Jorge Pesce | Psychiatry & Neurology | 803 E Dakota, Pierre, SD 57501-0148 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719661 | Jime Lynne Rivera | Psychiatry & Neurology | 708 E 21st Street, Yankton, SD 57078 | 2020-11-01 |
| 1598251381 | 1 Psychiatry P.c | Psychiatry & Neurology | 211 Sioux Point Rd Ste 300, Dakota Dunes, SD 57049-5492 | 2018-07-05 |
| 1619321197 | Erik Peterson | Psychiatry & Neurology | Sioux Falls Va Medical Center, 2501 West 22nd St, Sioux Falls, SD 57105 | 2016-04-20 |
| 1790160323 | Kunal K. Patra, M.d., P.C. | Psychiatry & Neurology | 211 Sioux Point Road, Dakota Dunes, SD 57049-5092 | 2015-07-24 |
| 1114242443 | Kirsten A Butz | Psychiatry & Neurology | 915 Mt View Rd, Rapid City, SD 57702-3414 | 2010-03-30 |
| 1528265436 | Costas Hercules | Psychiatry & Neurology | 22820 Wild Irishman Rd, Rapid City, SD 57702-9725 | 2007-07-03 |
| 1942325428 | Francis Christopher Bandettini | Psychiatry & Neurology | 2500 W 49th St, Suite 206, Sioux Falls, SD 57105-6580 | 2007-03-21 |
| 1548392095 | Paul Edward Stanslaw | Psychiatry & Neurology | 4500 East Hwy 18 / Pine Ridge Hospital, Behavioral Health Dept./ Indian Health Service, Pine Ridge, SD 57770-1201 | 2007-03-11 |
| 1801997739 | Harry W Hamlyn | Psychiatry & Neurology | 915 Mt. View Road, Rapid City, SD 57702 | 2006-09-25 |
| 1780793976 | Matt D Eggers | Psychiatry & Neurology | 30 N 6th St, Baltic, SD 57003-2047 | 2006-08-30 |
| 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.