Brianna Byllesby, PHD
Individual provider Active NPI Clinical Psychologist · Vermillion, SD
NPI 1235816745 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1235816745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 648 (SD)
- Practice address
- 414 E Clark St
Vermillion, SD 57069-2307 - Phone
- (605) 658-3723
- NPI assigned
- Jun 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 648 | SD | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 648 | SD | Yes |
Addresses
Primary practice location
414 E Clark St
Vermillion, SD 57069-2307
Mailing address
414 E Clark St
Vermillion, SD 57069-2307
Other providers in Vermillion, SD
- Kevin M Brown
- Meghan Buckman
- Tara Jean Budmayr
- Anthony Burbach
- Susan Mary Burbach
- Tristan Campbell
- Quinn Bigelow Cannon
- Sandra Jean Caraway
- Dakotah Carda
- Joseph Allen Carroll
All providers in Vermillion, SD · Clinical Psychologist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.