Emilia Sue Flint, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

538 Issued in SD

Practice address

115 N 7TH St
Suite 6
Spearfish, SD 57783-2700

Phone

(605) 645-0100

Fax

(605) 717-1009

NPI assigned

Aug 31, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Dr. Emilia Sue Boeschen Former name

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Black Hills Psychology LLCGroup PAC ID 4587852009, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Black Hills Psychology, LLC

  • Clinical Psychologist
  • Spearfish, SD
  • NPI 1811290992
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1023485646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N 7TH ST",
            "address_2": "SUITE 6",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832700",
            "telephone_number": "605-645-0100",
            "fax_number": "605-717-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N 7TH ST",
            "address_2": "SUITE 6",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832700",
            "telephone_number": "605-645-0100",
            "fax_number": "605-717-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLINT",
        "first_name": "EMILIA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SD",
            "license": "538",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "SD",
            "license": "538",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "SD",
            "license": "538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2010722",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILIA",
            "last_name": "BOESCHEN",
            "middle_name": "SUE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin G Feeser, RPT
• Kristen Noelle Feeser, MPT
• Erin A Fiedler, DPT
• Delainey Elizabeth Finger
• Alexis Flagstad
• Mark Wesley Flint, LPC
• Angela Foster
• Jeri K Fowler, PLPC
• Levi Fried, PT, DPT
• Katelyn Joy Friedt, BSDH, IBCLC, ICST-C

• Counseling Psychologist in Spearfish, SD
• Providers in Spearfish, SD by specialty
• Counseling Psychologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.