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BLACK HILLS PSYCHOLOGY LLC NPI 1811290992


NPI Information

NPI: 1811290992
Provider Name: BLACK HILLS PSYCHOLOGY, LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 43D2089513

Address:
115 N. 7TH ST.
STE 6
SPEARFISH, SD
ZIP 57783
Phone: (605) 645-0100
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BLACK HILLS PSYCHOLOGY, LLC is a clinical psychologist in Spearfish, SD. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. BLACK HILLS PSYCHOLOGY, LLC NPI is 1811290992. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

115 N. 7TH ST.
STE 6
SPEARFISH, SD
ZIP 57783-710
Phone: (605) 645-0100
Fax: (605) 717-1009

The provider's authorized official is Sara Elvabogestad Schilplin .
The authorized official title is Licensed Clinical Psychologist and has the following contact phone number (651) 470-9832.

The CLIA number assigned to this NPI record is 43D2089513 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/13/2010 and was last updated on 4/19/2017.


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
1101YP2500XCounselorProfessional000000SOUTH DAKOTANo
2103TC2200XPsychologistClinical Child & Adolescent0000SOUTH DAKOTANo
31041C0700XSocial WorkerClinical0000SOUTH DAKOTANo
42084P0800XPsychiatry & NeurologyPsychiatryNo
52084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
6101YM0800XCounselorMental HealthSOUTH DAKOTANo
7103TC1900XPsychologistCounselingSOUTH DAKOTANo
8363LF0000XNurse PractitionerFamilySOUTH DAKOTANo
9363LP0808XNurse PractitionerPsychiatric/Mental HealthSOUTH DAKOTANo
10103TC0700XPsychologistClinical0000SOUTH 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
12001655MEDICAIDSOUTH DAKOTA
2S104415MEDICARE PINSOUTH 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.