Childrens Home Society of South Dakota

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CHILDRENS HOME SOCIETY OF SOUTH DAKOTA

Practice address

4402 E 3Rd St
Sioux Falls, SD 57103-6650

Phone

(605) 334-6004

NPI assigned

Mar 20, 2024

Organization subpart

No

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

Authorized official

Name

Gibert Johnson

Title

Analyst

Phone

(605) 965-3149

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Childrens Home Society of South Dakota

  • Psychiatry Physician
  • Rapid City, SD
  • NPI 1003411745

  O20240620001344

  Same enrollment

Tax ID family

Childrens Home Society of South Dakota4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Childrens Home Society of South Dakota

  • Psychiatry Physician
  • Rapid City, SD
  • NPI 1003411745
  NPD tax ID
• Childrens Home Society of South Dakota

  • Community Health Worker
  • Rapid City, SD
  • NPI 1144943507
  NPD tax ID
• Childrens Home Society of South Dakota

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Sioux Falls, SD
  • NPI 1811017155
  NPD tax ID

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chelsea Rae Druzbacky, MSW

  • Social Worker
  • Rapid City, SD
  • NPI 1548971880

  SD, Social Worker

  Medicare reassignment NPD
• Malia Holbeck, CSW

  • Clinical Social Worker
  • Sioux Falls, SD
  • NPI 1003215757

  SD

  Medicare reassignment NPD
• Brian Alan Wilson, DO

  • Psychiatry Physician
  • Hot Springs, SD
  • NPI 1093909293

  Psychiatry, SD

  Medicare reassignment NPD
• Melisa Miftari, LCSW

  • Social Worker
  • Sioux Falls, SD
  • NPI 1235923848
  NPD

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1306606132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1749",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571011749",
            "telephone_number": "605-334-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 E 3RD ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571036650",
            "telephone_number": "605-334-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS HOME SOCIETY OF SOUTH DAKOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GIBERT",
        "authorized_official_title_or_position": "ANALYST",
        "authorized_official_telephone_number": "605-965-3149"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children'S Care Hospital and School
• Children'S Care Hospital and School
• Children'S Care Hospital and School
• Children'S Care Hospital and School Dba Lifescape
• Childrens Dental Center
• Childrens Home Society of South Dakota
• Nneka Chima, MD,MPH
• Yuen Lynn Chin, PHARM.D.
• Leah Chinchilla, RN
• Carver Ching, MD

• All providers in Sioux Falls, SD
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.