NPIMap

Organization Active NPI

Lower Brule Mental Health

  • Community/Behavioral Health Agency
  • Lower Brule, SD
National Provider Identifier
1003088303
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LOWER BRULE MENTAL HEALTH
Practice address
187 Oyate Cir
Lower Brule, SD 57548-8500
Phone
(605) 473-8000
Fax
(605) 473-5694
NPI assigned
Mar 26, 2008
Last updated
Mar 26, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
LOWER BRULE SIOUX TRIBEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jackie Jandreau
Title
Director
Phone
(605) 473-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

187 Oyate Cir
Lower Brule, SD 57548-8500

Mailing address

187 Oyate Cir
Lower Brule, SD 57548-8500
Phone (605) 473-8000

National Provider Directory

National Provider Directory
Tax ID family
Lower Brule Sioux Tribe7 organizations share this tax ID, including this one
Part of
Lower Brule Sioux Tribe

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1003088303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 OYATE CIR",
            "city": "LOWER BRULE",
            "state": "SD",
            "postal_code": "575488500",
            "telephone_number": "605-473-8000",
            "fax_number": "605-473-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 OYATE CIR",
            "city": "LOWER BRULE",
            "state": "SD",
            "postal_code": "575488500",
            "telephone_number": "605-473-8000",
            "fax_number": "605-473-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER BRULE MENTAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOWER BRULE SIOUX TRIBE",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "JANDREAU",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "605-473-8000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lower Brule, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.