Kristene Rancour, ACT
Individual provider Active NPI Addiction (Substance Use Disorder) Psychologist · Rapid City, SD
NPI 1548094113 · NPPES record last updated Aug 27, 2024
Key facts
- NPI
- 1548094113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Psychologist 103TA0400X
- License
- 8636 (SD)
- Practice address
- 1520 Haines Ave
Ste 6
Rapid City, SD 57701-0710 - Phone
- (605) 716-7841
- Fax
- (605) 718-0404
- NPI assigned
- Aug 27, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8636 | SD | MD | Addiction (Substance Use Disorder) Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Addiction Recovery Centers of the Black Hills | Current |
Accepting new patients | |
| Stephen Tamang MD Consulting Services PC | Current |
Accepting new patients |
Locations
1520 Haines Ave
Ste 6
Rapid City, SD 57701
Phone (605) 716-7841
Interoperability endpoints
- https://api.platform.athenahealth.com/18632/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 8636 | SD | Yes |
Addresses
Primary practice location
1520 Haines Ave
Ste 6
Rapid City, SD 57701-0710
Mailing address
1520 Haines Ave
Ste 6
Rapid City, SD 57701-0710
Phone (605) 716-7841
Other providers in Rapid City, SD
- Colleen Ragan
- Keirsta M Ragels
- Melanie Ramiscal
- Randy G Ramiscal
- Maria Celeste Ramos
- Anne-Louise Rang
- Rapid Chiro, Inc.
- Rapid City Acupuncture LLC
- Rapid City Area School District 51-4
- Rapid City Assisted Living, LLC
All providers in Rapid City, SD · Addiction (Substance Use Disorder) Psychologist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.