Black Hills Psychology, Llc

LBN: Black Hills Psychology, Llc
Black Hills Psychology, Llc is an health care organization with primary practice located at 115 N 7Th St Ste 6 , Spearfish SD 57783-2710. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Black Hills Psychology, Llc can be contacted via phone (605) 645-0100, or through Maxwell, Shannon Jean via phone (513) 304-4750.

Contact Information

Primary practice address
115 N 7Th St Ste 6 Spearfish SD 57783-2710
Phone: (605) 645-0100
Fax: (605) 717-1009
Website:
Map and Directions
Authorized official contact:
Name: Maxwell, Shannon Jean PSY.D
Phone: (513) 304-4750

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X South Dakota
Behavioral Health & Social Service Providers / Professional 101YP2500X 000000 South Dakota
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0000 South Dakota
Behavioral Health & Social Service Providers / Counseling 103TC1900X South Dakota
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 0000 South Dakota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0000 South Dakota
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X South Dakota

Profile Details

NPI number 1811290992
LBN Legal business name Black Hills Psychology, Llc
DBA Doing business as
Authorized official Maxwell, Shannon Jean PSY.D
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2010
Last updated Feb 27th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811290992 NPPES
South Dakota MEDICAID 2001655

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