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SANFORD CLINIC NPI 1396764254


NPI Information

NPI: 1396764254
Provider Name: SANFORD CLINIC

Doing Business As: SANFORD HEALTH PSYCHIATRY & PSYCHOLOGY CLINIC

Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
2400 W 49TH ST
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 312-8700
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SANFORD CLINIC is a psychologist in Sioux Falls, 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. SANFORD CLINIC NPI is 1396764254. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sanford Health Psychiatry & Psychology Clinic.

The provider's business location address is:

2400 W 49TH ST
SIOUX FALLS, SD
ZIP 57105-581
Phone: (605) 312-8700
Fax: (605) 312-8701

The provider's authorized official is Tony Lee Morrison .
The authorized official title is Vice President, Revenue Cycle and has the following contact phone number (605) 328-8380.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 10/13/2022.


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
12084P0800XPsychiatry & NeurologyPsychiatryNo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
3363L00000XNurse PractitionerNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
5103T00000XPsychologistYes

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
10537886MEDICAIDIOWA
2682698900MEDICAIDMINNESOTA

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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