Shores Clinic LLC

Primary specialty

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

Legal business name

SHORES CLINIC LLC

Practice address

5000 S Mac Arthur LN Ste 104
Sioux Falls, SD 57108-5407

Phone

(605) 206-7373

NPI assigned

Dec 7, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Robyn Shores Foster, CSW-PIPNPI 1023245552

Title

Owner

Phone

(609) 558-7834

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robyn Shores Foster, CSW PIP

  • Clinical Social Worker
  • Sioux Falls, SD
  • NPI 1023245552
  NPD Authorized official

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1073271953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S WESTMOOR DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044420",
            "telephone_number": "609-558-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S MAC ARTHUR LN STE 104",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085407",
            "telephone_number": "605-206-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORES CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "SHORES FOSTER",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-558-7834",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CSW-PIP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shoptikal LLC
• Shoptikal LLC
• Robyn Shores Foster, CSW PIP
• Tina Marie Short, D.C.
• Anup Shrestha, M.D.
• Lyn Marie Shroyer, EDD
• Jeana Sides, CNP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Sioux Falls, SD
• Providers in Sioux Falls, 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 Dec 7, 2021; 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.