Mark Stephen Hedges, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP 129 Issued in SD

Practice address

202 South Main Street
Suite 228
Aberdeen, SD 57401-4114

Phone

(605) 229-1500

Fax

(605) 229-4357

NPI assigned

Oct 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Northeastern Mental Health Center

  • Mental Health Counselor
  • Aberdeen, SD
  • NPI 1801964952
  NPD (past)

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508949025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 SOUTH MAIN STREET",
            "address_2": "SUITE 228",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014114",
            "telephone_number": "605-229-1500",
            "fax_number": "605-229-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 SOUTH MAIN STREET",
            "address_2": "SUITE 228",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014114",
            "telephone_number": "605-229-1500",
            "fax_number": "605-229-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGES",
        "first_name": "MARK",
        "middle_name": "STEPHEN",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SD",
            "license": "LP 129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6552010",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hearing Care Professionals, Inc
• Hearing Health Clinics
• Hearing Health Clinics Midwest Inc
• Kevin Lee Hed
• Janice Finnie Hedges, B.S.
• Sara Hegg, CNP, WHNP-BC
• Christina Jean Heiberger, M.S., CCC-SLP
• David Heiden
• Heather Lynette Heier-Crady
• Kevin Daniel Heilman

• Psychologist in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• Psychologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.