Robin Nicole Wisniewski, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

469 Issued in SD

Practice address

636 Saint Anne St
Rapid City, SD 57701-4694

Phone

(605) 721-8822

NPI assigned

Jun 11, 2006

Sex

Female

Sole proprietor

No

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

• Scovel Psychological and Counseling Services, LTD

  • Psychologist
  • Rapid City, SD
  • NPI 1578744504
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2008.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1083656409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 387",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577090387",
            "telephone_number": "605-721-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 SAINT ANNE ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014694",
            "telephone_number": "605-721-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "ROBIN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SD",
            "license": "469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Wintersteen, RPH
• Mallory Wipf, PA-C
• Tamara S Wirtz, CCC-SLP
• Wisdom in Age LLC
• Errin Joy Wise, MS, RD
• Wiswall Adams Endodontics LLC
• Jeffrey Herbert Wiswall, D.D.S., M.S.
• Steven Frederick Wiswall, DMD, MS
• Elizabeth Witkamp
• Gregory Wittenberg

• All providers in Rapid City, SD
• Clinical Psychologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.