Active NPI
Kyle Babb
- Psychologist
- Brandon, SD
National Provider Identifier
1154772101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 61840-4
- Practice address
- 300 S Splitrock Blvd
Brandon, SD 57005-1652 - Phone
- (605) 582-3446
- Fax
- (605) 582-3229
- NPI assigned
- Jun 30, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 61840-4 | SD | Primary |
Addresses
Primary practice location
300 S Splitrock Blvd
Brandon, SD 57005-1652
Mailing address
300 S Splitrock Blvd
Brandon, SD 57005-1652
Phone (605) 582-3446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61840-4 | SD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1154772101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S SPLITROCK BLVD",
"city": "BRANDON",
"state": "SD",
"postal_code": "570051652",
"telephone_number": "605-582-3446",
"fax_number": "605-582-3229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S SPLITROCK BLVD",
"city": "BRANDON",
"state": "SD",
"postal_code": "570051652",
"telephone_number": "605-582-3446",
"fax_number": "605-582-3229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABB",
"first_name": "KYLE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-30",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "SD",
"license": "61840-4",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.