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DR. DUSTIN BROOKS TANNER PSYD NPI 1497995088


NPI Information

NPI: 1497995088
Provider Name: DR. DUSTIN BROOKS TANNER, PSYD
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Organization: ALLIANCE FAMILY SERVICES INC

PECOS Registration: Yes

Address:
910 W HAVENS AVE
MITCHELL, SD
ZIP 57301
Phone: (605) 996-9686
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DR. Dustin Brooks Tanner, PSYD is a clinical psychologist in Mitchell, SD with 16 years of experience. 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. DR. Dustin Brooks Tanner, PSYD NPI is 1497995088. 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:

910 W HAVENS AVE
MITCHELL, SD
ZIP 57301-831
Phone: (605) 996-9686
Fax: (605) 996-1624

The NPI 1497995088 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/23/2009 and was last updated on 8/5/2015.


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
1390200000XStudent in an Organized Health Care Education/Training ProgramSOUTH DAKOTANo
2103TC0700XPsychologistClinicalPSY-202804IDAHOYes

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
15200110MEDICAIDSOUTH 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.