Individual provider Active NPI

Lynette Rae Quast, PH.D.

  • Clinical Psychologist
  • Rapid City, SD
National Provider Identifier
1497735914
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
460 Issued in SD
Practice address
825 Columbus St Ste 1
Rapid City, SD 57701-4804
Phone
(605) 348-6500
Fax
(605) 341-7409
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 460 SD Primary

Addresses

Primary practice location

825 Columbus St Ste 1
Rapid City, SD 57701-4804

Mailing address

825 Columbus St Ste 1
Rapid City, SD 57701-4804
Phone (605) 348-6500

Other identifiers 1

IdentifierTypeStateIssuer
6552310MedicaidSD

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
I20051123000698 SD Practitioner - Clinical Psychologist 3779503487 Practice locations: Rapid City, SD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

825 Columbus St
Suite 1
Rapid City, SD 57701-4804
Phone (605) 348-6500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
460SDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carver Grupp Psychological Services Inc. Clinical CurrentSince Nov 18, 2025 Accepting new patients

Locations

1818 W Fulton St
Ste 201
Rapid City, SD 57702
Phone (605) 348-6500

825 Columbus St
Ste 1
Rapid City, SD 57701
Phone (605) 348-6500

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1497735914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 COLUMBUS ST STE 1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014804",
            "telephone_number": "605-348-6500",
            "fax_number": "605-341-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 COLUMBUS ST STE 1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014804",
            "telephone_number": "605-348-6500",
            "fax_number": "605-341-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAST",
        "first_name": "LYNETTE",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SD",
            "license": "460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6552310",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.