East River Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

EAST RIVER PSYCHOLOGICAL SERVICES

Practice address

3413 N Ohlman St
Mitchell, SD 57301-5052

Phone

(605) 999-0728

NPI assigned

Sep 19, 2022

Last updated

Sep 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Dee Christiansen, PHDNPI 1639136088

Title

Clinical Psychologist/Owner

Phone

(605) 630-7387

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew D Christiansen, PHD

  • Clinical Psychologist
  • Mitchell, SD
  • NPI 1639136088
  NPD Authorized official

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1598487308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 N OHLMAN ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573015052",
            "telephone_number": "605-999-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 N OHLMAN ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573015052",
            "telephone_number": "605-999-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST RIVER PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "605-630-7387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639136088",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Mitchell, SD
• Providers in Mitchell, 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 Sep 6, 2024; 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.