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Contact Information

NORTHERN HILLS PSYCHOLOGICAL SERVICES, LLC
1130 N MAIN ST STE 1
SPEARFISH, SD57783-3017
 Phone: 605-641-8880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for NORTHERN HILLS PSYCHOLOGICAL SERVICES, LLC

NPI # 1881181642
LBN Legal business name NORTHERN HILLS PSYCHOLOGICAL SERVICES, LLC
Authorized official SHANNON MAXWELL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2018
Last updated 03/12/2019 - About 7 years ago
Identifiers
SD License # 530
SD Medicaid 1881181642
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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