Mark W. Perrenoud PH.D. Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

316 Issued in SD

Legal business name

MARK W. PERRENOUD PH.D. INC.

Practice address

1818 West Fulton
Suite 201
Rapid City, SD 57702-4347

Phone

(605) 348-6500

Fax

(605) 341-7409

NPI assigned

Mar 28, 2012

Organization subpart

No

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

Authorized official

Name

Mark William Perrenoud, PHD

Title

President

Phone

(605) 348-6500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1013283670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 WEST FULTON",
            "address_2": "SUITE 201",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024347",
            "telephone_number": "605-348-6500",
            "fax_number": "605-341-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 WEST FULTON",
            "address_2": "SUITE 201",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024347",
            "telephone_number": "605-348-6500",
            "fax_number": "605-341-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W. PERRENOUD PH.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "PERRENOUD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-348-6500",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "SD",
            "license": "316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6550895",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tristan Rae Marchant, LCSW
• Ilya Marchenko, DMD
• Dean R Marietta, M.D.
• Mark E Stotz DDS a Professional LLC
• Mark Urban Counseling
• Amy Lynn Marker, CSW, QMHP
• Kelly Marker, LMHC
• Nebojsa Markovic, MD
• Nikolina Markovic
• Martha Courson Maron, R.N.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.