PSYCHOLOGICAL SERVICES OF VERMILLION, LLC (NPI# 1982881769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982881769 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGICAL SERVICES OF VERMILLION, LLC |
| Practice Address |
110 E Main St Vermillion SD 57069-2201 |
| Mailing Address |
110 E Main St P.o. Box 283 Vermillion SD 57069-2201 |
| Practice Telephone | 6056249307 |
| Practice Fax Number | 6056249308 |
| Mailing Telephone | 6056249307 |
| Mailing Fax Number | 6056249308 |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |
| Authorized Official Name | DR. KRISTINE LYNN BRADY (OWNER) |
| Authorized Official Telephone | 6056249307 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
455 | SD | Behavioral Health & Social Service Providers |
| Street Address |
110 E MAIN ST |
| City | VERMILLION |
| State | SD |
| Zip Code | 57069-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295716389 | Kristine Lynn Brady | Psychologist | 110 E Main St, Vermillion, SD 57069-2201 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194208835 | Joseph Andrew Holstedt | Specialist/Technologist | 1101 N Dakota St, Vermillion, SD 57069 | 2018-09-10 |
| 1588116073 | Kierstin Rebecca Mergens | Health Educator | 1101 North Dakota Street, Vermillion, SD 57069 | 2016-10-31 |
| 1770959991 | Debra Kay Gapp | Counselor | 1120 Valley View Dr., Gapp Counseling Services, Vermillion, SD 57069 | 2015-08-12 |
| 1093191850 | Touching Lives Caregiver, LLC | Home Health | 2 N. Plum St, Vermillion, SD 57069 | 2015-08-04 |
| 1629402474 | Han-zhi Tao | Physical Therapist | 300 S Mickelson Ave, Vermillion, SD 57069 | 2013-08-29 |
| 1457527574 | Sophia Chun Chao | Physical Therapist | 1407 East Cherry St, Great Plains Therapy, Vermillion, SD 57069 | 2008-05-08 |
| 1710008388 | Matthew Richard Knutson | Dentist | 1714 E Cherry St, Vermillion, SD 57069 | 2007-04-02 |
| 1073643029 | City of Vermillion | Ambulance | 820 N Dakota Street, Vermillion, SD 57069 | 2007-03-07 |
| 1235201583 | Vermillion School District | Local Education Agency (LEA) | 17 Prospect Street, Vermillion, SD 57069 | 2006-11-14 |
| 1831677277 | Cassandra Feske | Physical Therapist | 1407 E Cherry St, Vermillion, SD 57069 | 2018-07-28 |
| Find all providers in zip 57069 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295232015 | Connection Therapy, LLC | Psychologist | 309 Happy Hollow St, Vermillion, KS 66544-8633 | 2018-04-09 |
| 1194908889 | Mark C Daniels | Psychologist | 409 S Pine St, Vermillion, SD 57069-3515 | 2007-12-17 |
| 1295716389 | Kristine Lynn Brady | Psychologist | 110 E Main St, Vermillion, SD 57069-2201 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417503822 | Alicia Claire Mousseau | Psychologist | 112 Mousseau Lane, Porcupine, SD 57772-0184 | 2019-08-12 |
| 1902203847 | Diana Moore | Psychologist | 1323 Bia Rd. 20, Fort Thomspson, SD 57339 | 2014-11-20 |
| 1225310345 | Erick Messler | Psychologist | 327 Broadway Ave Ste 13, Yankton, SD 57078-7800 | 2011-09-14 |
| 1265764450 | Aaron Lapointe | Psychologist | 1323 Bia Route, Fort Thompson, SD 57339 | 2010-02-12 |
| 1700115904 | Psychology Associates,inc. | Psychologist | 2900 E 26th St Ste 306, Sioux Falls, SD 57103-4060 | 2009-12-17 |
| 1730412867 | Darlene Marie Wilcox | Psychologist | 1723 Brentwood St, Rapid City, SD 57701-0724 | 2009-09-08 |
| 1548409246 | Oliver John Barton | Psychologist | 910 W Havens Ave, Mitchell, SD 57301-3831 | 2009-02-19 |
| 1477700086 | Carver Grupp Psychological Services Inc. | Psychologist | 1818 W Fulton St Ste 201, Rapid City, SD 57702-4347 | 2008-08-26 |
| 1699982371 | Bradley D. Woldt | Psychologist | 928 4th St, Suite 6, Brookings, SD 57006-2171 | 2007-05-16 |
| 1699810879 | Joel Vincent Merkwan | Psychologist | 327 Broadway Ave Ste 15, Yankton, SD 57078-7800 | 2007-02-21 |
| Find all providers with the same taxonomy | ||||
| City | VERMILLION |
| Zip Code | 57069 |
Please comment or provide details below to improve the information on PSYCHOLOGICAL SERVICES OF VERMILLION, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.