Individual provider Active NPI

Alexandra L Pagel, PSY.D.

  • Psychologist
  • Yankton, SD
National Provider Identifier
1336595834
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
610 Issued in SD
Practice address
2703 Fox Run Parkway
Suite 200
Yankton, SD 57078-5382
Phone
(605) 665-0258
Fax
(605) 665-2707
NPI assigned
May 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 610 SD Primary
Mental Health Counselor 101YM0800X 10863 NE

Addresses

Primary practice location

2703 Fox Run Parkway
Suite 200
Yankton, SD 57078-5382

Mailing address

2703 Fox Run Parkway
Suite 200
Yankton, SD 57078-5382
Phone (605) 665-0258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230206001947 SD Practitioner - Clinical Psychologist 7911379698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological Associates of Yankton, LLCGroup PAC ID 8820084338, 2 clinicians

Practice addresses (Care Compare)

2703 Fox Run Pkwy
Suite 200
Yankton, SD 57078-5382
Phone (605) 665-0258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
10863NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Associates of Yankton, LLC CurrentSince Oct 18, 2022 Accepting new patients

Locations

2703 Fox Run Pkwy
Yankton, SD 57078
Phone (605) 665-7479

2703 Fox Run Pkwy
Ste 200
Yankton, SD 57078
Phone (605) 665-0258

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1336595834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 FOX RUN PARKWAY",
            "address_2": "SUITE 200",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570785382",
            "telephone_number": "605-665-0258",
            "fax_number": "605-665-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 FOX RUN PARKWAY",
            "address_2": "SUITE 200",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570785382",
            "telephone_number": "605-665-0258",
            "fax_number": "605-665-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGEL",
        "first_name": "ALEXANDRA",
        "middle_name": "L",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SD",
            "license": "610",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

Verify at the official NPI Registry.