Justin Vandermeid

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

12598 Issued in SD

Practice address

201 S. State St., Ste E201
Aberdeen, SD 57401-5740

Phone

(056) 222-5456

Fax

(605) 622-2531

NPI assigned

Apr 8, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MP, SD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

University of Rochester School of Medicine and Dentistry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Avera St LukesGroup PAC ID 6406764927, 164 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera St Lukes Hospital, Aberdeen, SD, CCN 430014
• Milbank Area Hospital/Avera Health Hospital, Milbank, SD, CCN 431326
• Sanford Medical Center Aberdeen Hospital, Aberdeen, SD, CCN 430097

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Avera St. Luke'S

  • Internal Medicine Physician
  • Aberdeen, SD
  • NPI 1215100813
  Medicare reassignment Care Compare group NPD
• Commonwealth Healthcare Corporation

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saipan, MP
  • NPI 1285858290
  Medicare reassignment NPD
• Avera St. Luke'S

  • Podiatrist
  • Aberdeen, SD
  • NPI 1871771279
  NPD
• Avera St. Lukes

  • Nephrology Physician
  • Aberdeen, SD
  • NPI 1477594430
  NPD
• Commonwealth Healthcare Corporation

  • General Acute Care Hospital
  • Saipan, MP
  • NPI 1871616292
  NPD
• Avera St Lukes

  • Psychiatric Hospital Unit
  • Aberdeen, SD
  • NPI 1003867029
  NPD (past)
• Avera St Lukes

  • General Acute Care Hospital
  • Aberdeen, SD
  • NPI 1457309270
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Avera McKennan

  • Critical Access Hospital
  • Milbank, SD
  • NPI 1548272818
  Care Compare affiliation
• Avera McKennan

  • Rural Health Clinic/Center
  • Milbank, SD
  • NPI 1750488730

  Hospital

  Care Compare affiliation
• Avera St Lukes

  • General Acute Care Hospital
  • Aberdeen, SD
  • NPI 1457309270
  Care Compare affiliation
• Sanford Health Network

  • General Acute Care Hospital
  • Aberdeen, SD
  • NPI 1235406455
  Care Compare affiliation
• Sanford Health Network

  • General Acute Care Hospital
  • Aberdeen, SD
  • NPI 1639423957
  Care Compare affiliation

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1548656374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S LLOYD ST STE E201",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014509",
            "telephone_number": "056-222-5456",
            "fax_number": "605-622-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S. STATE ST., STE E201",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574015740",
            "telephone_number": "056-222-5456",
            "fax_number": "605-622-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERMEID",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SD",
            "license": "441",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SD",
            "license": "12598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darcie L Tveidt, CRNA
• Natasha Valnes, LAC
• Gregg Edward Van Beek, D.D.S.
• Robert M Van Winkle, CCDC3
• Kristin Sue Vanbuskirk, CNP
• Kathleen Elaine Vandewalle I, D.O.
• Ron Vandyke
• Amanda M Vanhatten, PT
• Kaylee Anna Vanlaecken, DDS
• Ariana Vasquez

• Psychiatry Physician in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• Psychiatry Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.