PSYCHIATRIC SERVICES, LLC (NPI# 1497016562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497016562 |
| Entity Type | Organization |
| Organization Name | PSYCHIATRIC SERVICES, LLC |
| Practice Address |
306 4th St Suite G Brookings SD 57006-1948 |
| Practice Telephone | 6056975352 |
| Practice Fax Number | 6056101561 |
| Mailing Telephone | 6056975352 |
| Mailing Fax Number | 6056101561 |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |
| Authorized Official Name | MRS. BRENDA L JOHNSON (OWNER) |
| Authorized Official Telephone | 6056975352 |
| 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 |
|---|---|---|---|---|
| 1174890164 | Psychiatric Services, LLC | Clinic/Center | 506 Lovely Ave, Baltic, SD 57003-0328 | 2011-11-19 |
| 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 |
306 4TH ST SUITE G |
| City | BROOKINGS |
| State | SD |
| Zip Code | 57006-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710266473 | Brenda Lenae Johnson | Nurse Practitioner | 306 4th St, Suite G, Brookings, SD 57006-1940 | 2011-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685845 | Leah Kroeger | Specialist/Technologist | 2820 Stanley J Marshall Center, Brookings, SD 57006 | 2020-10-01 |
| 1619454774 | Alec Edward Weis | Student in an Organized Health Care Education/Training Program | 314 Main Ave Apt 4., Brookings, SD 57006 | 2018-07-22 |
| 1629569066 | Robin Lynn Erz | Counselor | East Central Behavioral Health, 211 4th Street, Brookings, SD 57006 | 2018-05-22 |
| 1982057246 | City of Brookings | Clinic/Center | 310 22nd Avenue, Brookings, SD 57006 | 2016-07-21 |
| 1922413806 | Avera Mckennan | Clinic/Center | 400 2nd Ave, Brookings, SD 57006 | 2014-06-30 |
| 1093157554 | Nathan William Hilbrands | Dentist | 427 8th St S, Brookings, SD 57006 | 2013-07-25 |
| 1992073951 | Andrea Uckert | Counselor | 619 5th Ave Ste 3, Brookings, SD 57006 | 2011-12-06 |
| 1972800100 | Melissa Ann Klemm | Counselor | 1304 Main Ave S, Brookings, SD 57006 | 2011-02-24 |
| 1285873539 | Amy Lynn Osterberg | Counselor | 211 4th St., East Central Mh/cd Center Inc, Brookings, SD 57006 | 2009-02-10 |
| 1114062072 | Kendalls Rexall Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 223 6th St, Brookings, SD 57006 | 2007-02-20 |
| Find all providers in zip 57006 | ||||
| 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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| 1396373981 | Horse Sense Counseling LLC | Clinic/Center | 2040 W Main St Ste 305, Rapid City, SD 57702-2447 | 2020-03-30 |
| 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 |
| 1174890164 | Psychiatric Services, LLC | Clinic/Center | 506 Lovely Ave, Baltic, SD 57003-0328 | 2011-11-19 |
| 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 |
| 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.