Active NPI
James H Wick, EDD
- Psychologist
- Sioux Falls, SD
National Provider Identifier
1265488159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 184
- Practice address
- 1621 S Minnesota Ave
Sioux Falls, SD 57105 - Phone
- (605) 328-4700
- Fax
- (605) 328-4702
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 184 | SD | MD | Psychologist |
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 | 184 | SD | Primary |
Addresses
Primary practice location
1621 S Minnesota Ave
Sioux Falls, SD 57105
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-7180
NPI Registry JSON
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286150400000",
"number": "1265488159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "605-328-7180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 S MINNESOTA AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "57105",
"telephone_number": "605-328-4700",
"fax_number": "605-328-4702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICK",
"first_name": "JAMES",
"middle_name": "H",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2010-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "SD",
"license": "184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.