Individual provider Active NPI

Darren Jilek, PH.D.

  • Psychologist
  • Mellette, SD
National Provider Identifier
1215300066
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
536 Issued in SD
Practice address
39218 Prairie Rd
Mellette, SD 57461-5206
Phone
(605) 228-4877
NPI assigned
Nov 2, 2015
Last updated
Dec 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 536 SD Primary

Addresses

Primary practice location

39218 Prairie Rd
Mellette, SD 57461-5206

Mailing address

39218 Prairie Rd
Mellette, SD 57461-5206

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151228001033 SD Practitioner - Clinical Psychologist 8820399413 Reassigns benefits to 1 organization
Practice locations: Aberdeen, SD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

634 S Roosevelt St
Suite 4
Aberdeen, SD 57401-6593
Phone (605) 228-4877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Plains Psychological Associates, LLC Psychologist CurrentSince Nov 30, 2022 Accepting new patients
Darren Jilek PHD Licensed Psychologist Psychologist CurrentSince Nov 14, 2015 Accepting new patients
Brain Intercept Inc PastSince Nov 1, 2020 Accepting new patients

Locations

1409 6th Ave SE
Ste 5
Aberdeen, SD 57401
Phone (605) 225-3622

634 S Roosevelt St
Ste 4
Aberdeen, SD 57401
Phone (605) 622-0665

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1215300066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39218 PRAIRIE RD",
            "city": "MELLETTE",
            "state": "SD",
            "postal_code": "574615206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39218 PRAIRIE RD",
            "city": "MELLETTE",
            "state": "SD",
            "postal_code": "574615206",
            "telephone_number": "605-228-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JILEK",
        "first_name": "DARREN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SD",
            "license": "536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mellette, SD

Sources for this page

Verify at the official NPI Registry.