MR. LARRY KAY BRENDTRO


Address: 27843 469th Avenue, Lennox, SD 57039
Phone: 6055809557

MR. LARRY KAY BRENDTRO (NPI# 1881104859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881104859
Entity Type Individual
Full Name MR. LARRY KAY BRENDTRO
Credential PH.D.
Practice Address 27843 469th Avenue
Lennox
SD 57039
Mailing Address P.o. Box 255
Lennox
SD 57039
Practice Telephone 6055809557
Mailing Telephone 6055809557
Enumeration Date 2017-10-04
Last Update Date 2017-10-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 6301001648 MI Behavioral Health & Social Service Providers

Office Location

Street Address 27843 469TH AVENUE
City LENNOX
State SD
Zip Code 57039

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033312269 Hildas Heritage Home Inc Assisted Living Facility 220 S Lincoln St, Lennox, SD 57039 2007-06-06
1487705372 Arthur David Ringen Dentist 1101 S Main, Lennox, SD 57039 2007-01-16
1316019052 Lennox School District Local Education Agency (LEA) 201 S Elm Street, Lennox, SD 57039 2006-11-15
1669562666 Lewis Family Drug, LLC Pharmacy 515 N Pine Street, Lennox, SD 57039 2006-10-13
1700999539 Jeffrey J. Elhoff Chiropractor 109 South Main Street, Lennox, SD 57039-0620 2006-08-16
1144334855 Linda L Bruns Family Medicine 108smainst, Lennox, SD 57039-0622 2006-08-18
1184738890 Larry L Sittner Family Medicine 108 S Main Street, Lennox, SD 57039-0662 2006-08-18
1942314810 Scott F. Rogers Family Medicine 108 S Main St, Lennox, SD 57039-0662 2006-08-18
1386758084 Denise A Timmerman Family Medicine 108 S Main St, Lennox, SD 57039-0662 2006-08-18
1750447751 Janell June Beck Dentist 101 So Main St, Lennox, SD 57039-0663 2006-12-28
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245730357 Behavior Care Specialists, Inc Psychologist 200 W Pleasant Dr, Pierre, SD 57501-2472 2018-02-15
1568970788 Daniel Burow Consulting Psychologist 1108 W Glen Eagle Cir, Sioux Falls, SD 57108-4122 2018-01-22
1487174371 Linda Jo Muise Psychologist 408 S Wind St, Flandreau, SD 57028-1740 2017-06-22
1497204937 Molly Driel Dent Psychologist 102 E. Denver Drive, Mission, SD 57555 2016-09-26
1891244489 Vitality Psychological Services, LLC Psychologist 4900 S Minnesota Ave Ste 103, Sioux Falls, SD 57108-2813 2016-09-24
1154772101 Kyle Babb Psychologist 300 S Splitrock Blvd, Brandon, SD 57005-1652 2016-06-30
1215300066 Darren Jilek Psychologist 39218 Prairie Rd, Mellette, SD 57461-5206 2015-11-02
1346634292 Patricia Iron Shell-hill Psychologist 28518 Bia 9, Rosebud, SD 57570-0277 2015-03-27
1770824484 Ada Ruth Powell Psychologist 207 E Capitol Ave Ste 206, Pierre, SD 57501-3159 2013-03-05
1275872707 Sacred Heart Health Services Psychologist 409 Summit St Ste 3300, Yankton, SD 57078-3735 2013-02-04
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Competitor

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City LENNOX
Zip Code 57039

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Dataset Information

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.

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