Tawa M Witko, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

456 Issued in SD

Practice address

701 E 6TH St
McLaughlin Clinic
McLaughlin, SD 57642

Phone

(605) 823-4458

Fax

(605) 823-4459

NPI assigned

Dec 11, 2006

Last updated

Jan 27, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Heartland Psychological Services

  • Mental Health Counselor
  • Yankton, SD
  • NPI 1568708683
  NPD (past)
• Heartland Psychological Services

  • Psychiatry Physician
  • Yankton, SD
  • NPI 1679574578

  Clinical

  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1144380866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 879",
            "address_2": "MCLAUGHLIN CLINIC",
            "city": "MC LAUGHLIN",
            "state": "SD",
            "postal_code": "576420879",
            "telephone_number": "605-823-4458",
            "fax_number": "605-823-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 6TH ST",
            "address_2": "MCLAUGHLIN CLINIC",
            "city": "MCLAUGHLIN",
            "state": "SD",
            "postal_code": "57642",
            "telephone_number": "605-823-4458",
            "fax_number": "605-823-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITKO",
        "first_name": "TAWA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SD",
            "license": "456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "DB3096",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBRASKA MEDICAID",
            "identifier": "10025457300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTA CARE",
            "identifier": "456",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVERA HEALTH PLAN",
            "identifier": "14283",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6552242",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "246779",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4994787",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "246779",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "246779",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terelle Perman, PHARMD
• Zachary Isaiah Perman, D.M.D
• Jewel Lee Schell, RN
• Seeds of Eden
• Elle Victoria-Gray, LMSW
• Xandria Khrystynne Yackley, DDS, BS

• Clinical Psychologist in McLaughlin, SD
• Providers in McLaughlin, SD by specialty
• Clinical Psychologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.