DR. DEWEY J. ERTZ ED.D. NPI 1164606570

NPI Information

  • NPI: 1164606570
  • Provider Name: DR. DEWEY J. ERTZ, ED.D.
  • Classification: Psychologist - 103T00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3601 CANYON LAKE DR
    RAPID CITY, SD
    ZIP 57702
  • Phone: (605) 341-8647

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NPI Details

DR. Dewey J. Ertz, ED.D. is a psychologist in Rapid City, SD. The provider is 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. DR. Dewey J. Ertz, ED.D. NPI is 1164606570. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3601 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702-900
Phone: (605) 341-8647
Fax: (605) 341-0489

The NPI 1164606570 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 45 minutes (HCPCS:90834)

The enumeration date for this NPI number is 12/20/2007 and was last updated on 12/20/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)123SOUTH DAKOTANo
2103TC0700XPsychologistClinical123SOUTH DAKOTANo
3103TF0000XPsychologistFamily123SOUTH DAKOTANo
4103TF0200XPsychologistForensic123SOUTH DAKOTANo
5103TM1800XPsychologistIntellectual and Developmental Disabilities123SOUTH DAKOTANo
6103TP2701XPsychologistGroup Psychotherapy123SOUTH DAKOTANo
7103TR0400XPsychologistRehabilitation123SOUTH DAKOTANo
8103TS0200XPsychologistSchool29664-02SOUTH DAKOTANo
9103T00000XPsychologist123SOUTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16550193MEDICAIDSOUTH DAKOTA
27928MEDICARE PINSOUTH DAKOTA
3460461452-26MEDICAIDNEBRASKA

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: 11/21/2025

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