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BROOKINGS NEUROPSYCHOLOGY SERVICES NPI 1023368016


NPI Information

NPI: 1023368016
Provider Name: BROOKINGS NEUROPSYCHOLOGY SERVICES
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
928 4TH ST
SUITE 6
BROOKINGS, SD
ZIP 57006
Phone: (605) 692-6367
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BROOKINGS NEUROPSYCHOLOGY SERVICES is a clinical neuropsychologist in Brookings, SD. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. BROOKINGS NEUROPSYCHOLOGY SERVICES NPI is 1023368016. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

928 4TH ST
SUITE 6
BROOKINGS, SD
ZIP 57006-171
Phone: (605) 692-6367
Fax: (605) 692-1883

The provider's authorized official is Thomas Rauby Shaffer .
The authorized official title is Clinic Manager and has the following contact phone number (605) 692-6367.

The enumeration date for this NPI number is 9/17/2012 and was last updated on 9/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical Neuropsychologist472SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1S102729OTHERMEDICARE PTAN/ID
26552660MEDICAIDSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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