Dakota Behavioral Health PLLC

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Pierre, SD

NPI 1124889381 · NPPES record last updated May 14, 2024

Key facts

NPI
1124889381
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Legal business name
DAKOTA BEHAVIORAL HEALTH PLLC
Practice address
1309 E Wells Ave
Pierre, SD 57501-3964
Phone
(605) 702-6769
Fax
(605) 340-1115
NPI assigned
Jan 16, 2024
Organization subpart
No

Authorized official

Name
Ryan Rowe Rowe, CNP
Title
Nurse Practitioner
Phone
(605) 702-6769

Practitioners 3

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240304003273 SD Part B Supplier - Clinic/Group Practice 7113362880 Receives reassigned benefits from 2 practitioners
Practice locations: Pierre, SD; Winner, SD

National Provider Directory

Locations

1309 E Wells Ave
Pierre, SD 57501
Phone (605) 208-7272

825 E 8th St
Ste 201
Winner, SD 57580
Phone (605) 702-6769

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LP0808X Yes

Addresses

Primary practice location

1309 E Wells Ave
Pierre, SD 57501-3964

Mailing address

PO Box 168
Winner, SD 57580-0168
Phone (605) 702-6769

Other providers in Pierre, SD

All providers in Pierre, SD · Psychiatric/Mental Health Nurse Practitioner in South Dakota

Sources for this page

Verify at the official NPI Registry.