Kristine Lynn Brady, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

455 Issued in SD

Practice address

110 E Main St
Vermillion, SD 57069-2201

Phone

(605) 624-9307

Fax

(605) 624-9308

NPI assigned

Nov 7, 2005

Last updated

Jan 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Hope Therapy and Evaluation Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vermillion, SD
  • NPI 1962278895
  NPD Authorized official
• Psychological Services of Vermillion, LLC

  • Clinical Psychologist
  • Vermillion, SD
  • NPI 1982881769
  Authorized official Same address or phone
• Heartland Psychological Services

  • Psychiatry Physician
  • Yankton, SD
  • NPI 1679574578

  Clinical

  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1295716389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST",
            "address_2": "P.O. BOX 283",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570692201",
            "telephone_number": "605-624-9307",
            "fax_number": "605-624-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570692201",
            "telephone_number": "605-624-9307",
            "fax_number": "605-624-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "KRISTINE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SD",
            "license": "455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLAN",
            "identifier": "28205",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "4995005",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6552222",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "455",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bare Assets 3 (Vermillion Assisted Living)
• Teresa James Bellis, PH.D.
• Grace Bennett, ED.S., NCSP
• Daniel Beutler, DO
• Zachary Hunter Birchem
• Kylie Ann Brooks, PHARM D
• Brouwer Speech and Language Therapy
• Brown Optometric Clinic PC (Prairie Eye Clinic)
• Kevin M Brown, O.D.
• Meghan Buckman, RD

• Clinical Psychologist in Vermillion, SD
• Providers in Vermillion, SD by specialty
• Clinical Psychologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.