Thomas S Stanage, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

342 Issued in SD

Practice address

1028 Walnut
Lewis & Clark BHS
Yankton, SD 57078

Phone

(605) 665-4606

Fax

(605) 665-4673

NPI assigned

Nov 21, 2005

Last updated

Sep 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Lewis & Clark Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • Yankton, SD
  • NPI 1215918339

  Psychologist

  Medicare reassignment NPD
• Lewis & Clark Mental Health Center

  dba Lewis & Clark Behavioral Health Services

  • Mental Health Counselor
  • Yankton, SD
  • NPI 1972862969
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1174506505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 WALNUT",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "57078",
            "telephone_number": "605-665-4606",
            "fax_number": "605-665-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 WALNUT",
            "address_2": "LEWIS & CLARK BHS",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "57078",
            "telephone_number": "605-665-4606",
            "fax_number": "605-665-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANAGE",
        "first_name": "THOMAS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "342",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SD",
            "license": "342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Dakota Human Services Center Pharmacy
• Spectacle Shop LLC
• Elizabeth Sumner Spivey, PHD
• Sydney Stamatovich
• Sally Stanage
• State of South Dakota (SD Human Services Center)
• Mark Thomas Steckler, O.D.
• Teanna Steers
• Shiela M Steffen
• Mark A Steil, PAC

• Psychologist in Yankton, SD
• Providers in Yankton, SD by specialty
• Psychologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.