Greg Swenson, PHD, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

223 Issued in SD

Legal business name

GREG SWENSON, PHD, INC.

Practice address

929 Kansas City St
Suite 201
Rapid City, SD 57701-4105

Phone

(605) 341-5436

Fax

(605) 721-5436

NPI assigned

Jan 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Greg Gale Swenson, PHDNPI 1356493555

Title

Psychologist

Phone

(605) 341-5436

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Greg G Swenson, PHD

  • Psychologist
  • Rapid City, SD
  • NPI 1356493555
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306994967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 KANSAS CITY ST",
            "address_2": "SUITE 201",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014105",
            "telephone_number": "605-341-5436",
            "fax_number": "605-721-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 KANSAS CITY ST",
            "address_2": "SUITE 201",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014105",
            "telephone_number": "605-341-5436",
            "fax_number": "605-721-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG SWENSON, PHD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWENSON",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "GALE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "605-341-5436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SD",
            "license": "223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6550052",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Vincentine Green, M.ED
• Suzanne Darlene Greene, LCSW
• Jill Greenfield
• Lindsay Greenfield
• Greg a Hanson DDS Prof LLC (Boulevard Dental)
• Gregory Howard, PH.D., CSW-Pip, Inc.
• Mitch Grieve
• Blake A. Griffin, CRNA
• Desiree' Y'Vonne Griffin
• Jenny Griffin, NCC

• Psychologist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Psychologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.