Black Hills Psychology, Llc
LBN: Black Hills Psychology, Llc
Black Hills Psychology, Llc is an health care organization with primary practice located at 115 N 7Th St Ste 6 , Spearfish SD 57783-2710. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Black Hills Psychology, Llc can be contacted via phone (605) 645-0100, or through Maxwell, Shannon Jean via phone (513) 304-4750.
Contact Information
Primary practice address
115 N 7Th St Ste 6
Spearfish SD 57783-2710
Phone: (605) 645-0100
Fax: (605) 717-1009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | South Dakota | |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 000000 | South Dakota |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0000 | South Dakota |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | South Dakota | |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 0000 | South Dakota |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0000 | South Dakota |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | South Dakota |
Profile Details
| NPI number | 1811290992 |
|---|---|
| LBN Legal business name | Black Hills Psychology, Llc |
| DBA Doing business as | |
| Authorized official | Maxwell, Shannon Jean PSY.D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 13th, 2010 |
| Last updated | Feb 27th, 2024 - about 7 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811290992 | NPPES |
| South Dakota | MEDICAID | 2001655 |
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