Ericka Kathleen Kemper, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

444 Issued in SD

Practice address

1601 E 69TH St
Ste 305
Sioux Falls, SD 57108-8322

Phone

(605) 368-4323

Fax

(605) 274-7070

NPI assigned

Jul 11, 2006

Last updated

Oct 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Life Strategies Psychological Health Services, Inc

  • Clinical Psychologist
  • Sioux Falls, SD
  • NPI 1821026998
  Medicare reassignment NPD Authorized official
• Community Counseling Service

  • Mental Health Counselor
  • Huron, SD
  • NPI 1932167277
  NPD (past)
• Dr. O'Connor & Associates, LLC

  • Clinical Psychologist
  • Sioux Falls, SD
  • NPI 1467645861
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1477588416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 69TH ST STE 305",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088322",
            "telephone_number": "605-368-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 69TH ST",
            "address_2": "STE 305",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088322",
            "telephone_number": "605-368-4323",
            "fax_number": "605-274-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6810 S Lyncrest Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571082515",
            "country_code": "US",
            "telephone_number": "605-274-1119",
            "fax_number": "605-271-9983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMPER",
        "first_name": "ERICKA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WY",
            "license": "373",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SD",
            "license": "444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6552023",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "4993937",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANFORD HEALTH PLAN",
            "identifier": "33858",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "444",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Hunter Kelly, MD
• Patrick Wayne Kelly, MD
• Alicia Kelm
• Andrea Vail Kelsch, MD
• Earl D Kemp, MD
• Meredith Lynn Kemper, MD
• Pamela L. Kendall, MSN, FNP-BC, NP-C
• Zachary W. Kendrick, M.D.
• Kenna Lyn Kennedy, PMHNP
• Kenny Pospischil (Mindful Wellness, LLC)

• Clinical Psychologist in Sioux Falls, SD
• Providers in Sioux Falls, 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 Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.