Tabula Rasa Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

TABULA RASA INC

Practice address

27094 Ridgeview Springs Rd
Hot Springs, SD 57747-6033

Phone

(605) 891-4377

NPI assigned

Oct 31, 2023

Organization subpart

No

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

Authorized official

Name

Martin Neary

Title

Credentialing

Phone

(518) 244-3737

Specialties & licenses 1

Addresses

Practitioners 1

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

• Chantal Marie Peterson, PSY.D.

  • Clinical Psychologist
  • Hot Springs, SD
  • NPI 1427469519
  NPD (past)

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1336912468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27094 RIDGEVIEW SPRINGS RD",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577476033",
            "telephone_number": "605-891-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27094 RIDGEVIEW SPRINGS RD",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577476033",
            "telephone_number": "605-891-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABULA RASA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "NEARY",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "518-244-3737"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Springs Hometown Healthcare
• State of South Dakota-Division of (South Dakota State Veterans Home Pharmacy)
• David A Steele, MD
• Andrea Michelle Sterkel, MSN-CNP
• Garry D Strauser, MD
• Mary Terrones
• Lisa Thompson, PHYSICAL THERAPIST
• Sheena Thomson, MSED
• Emily Tibbitts, RRT
• Gayle Marie Tonsager

• Clinical Psychologist in Hot Springs, SD
• Providers in Hot Springs, 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 Dec 19, 2023; 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.