NPIMap

Individual provider Active NPI

Mark Thomas Garry, M.D.

  • Psychiatry Physician
  • Rapid City, SD
National Provider Identifier
1235193418
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5002 Issued in SD
Practice address
10 Van Buren St
Rapid City, SD 57701-0969
Phone
(605) 721-8939
NPI assigned
Apr 14, 2006
Last updated
Dec 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5002 SD Primary

Addresses

Primary practice location

10 Van Buren St
Rapid City, SD 57701-0969

Mailing address

10 Van Buren St
Rapid City, SD 57701-0969
Phone (605) 721-8939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070717000553 SD Practitioner - Psychiatry 4183724347 Reassigns benefits to 2 organizations
I20240405002233 TX Practitioner - Psychiatry 4183724347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Emory University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

915 Mountain View Rd
Rapid City, SD 57702-3414
Phone (605) 755-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5002SDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital Inc CurrentSince May 1, 2007 Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince May 1, 2007 Accepting new patients
Great Plains Tribal Chairmen's Health Board CurrentSince Feb 26, 2024 Accepting new patients
Black Hills Works Inc CurrentSince Apr 4, 2016 Accepting new patients
Rapid City Indian Health Service Hospital Past Accepting new patients
Community Health Center of the Black Hills, Inc Past Accepting new patients
Community Health Center of the Black Hills Inc PastSince Dec 11, 2019 Accepting new patients
Monument Health Rapid City Hospital, Inc. Past Accepting new patients

Locations

3200 Canyon Lake Dr
Rapid City, SD 57702
Phone (605) 355-2282

3200 Canyon Lake Dr
Ste 1
Rapid City, SD 57702
Phone (605) 355-2500

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

3650 Range Rd
Rapid City, SD 57702
Phone (605) 343-4550

915 Mountain View Rd
Rapid City, SD 57702
Phone (605) 719-1000

Organizations & group practices 8

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1235193418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 VAN BUREN ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577010969",
            "telephone_number": "605-721-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 VAN BUREN ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577010969",
            "telephone_number": "605-721-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRY",
        "first_name": "MARK",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SD",
            "license": "5002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.