Individual provider Active NPI

Michael Huxford, PSYD

  • Psychologist
  • Rapid City, SD
National Provider Identifier
1609881002
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
512 Issued in SD
Practice address
803 Soo San Dr
Rapid City, SD 57702-3142
Phone
(605) 343-7297
NPI assigned
Jul 31, 2006
Last updated
Sep 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4080 CO
Psychologist 103T00000X 512 SD Primary
Psychologist 103T00000X 3444 CO
Counseling Psychologist 103TC1900X PY 60187443 WA

Addresses

Primary practice location

803 Soo San Dr
Rapid City, SD 57702-3142

Mailing address

1411 Flormann St
Rapid City, SD 57701-5323
Phone (720) 256-8354

Other identifiers 1

IdentifierTypeStateIssuer
4080OtherCOLPC

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
I20130723000451 SD Practitioner - Clinical Psychologist 4981845690 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

677 Cathedral Dr
Suite 201
Rapid City, SD 57701-7389
Phone (605) 755-5276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4080COMDMental Health Counselor
PY 60187443WAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital Inc CurrentSince Oct 14, 2020 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Oct 14, 2020 Accepting new patients
Black Hills Works Inc CurrentSince May 14, 2013 Accepting new patients

Locations

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

3650 Range Rd
Rapid City, SD 57702
Phone (605) 343-4550

677 Cathedral Dr
Ste 201
Rapid City, SD 57701
Phone (605) 755-5276

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1609881002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 FLORMANN ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577015323",
            "telephone_number": "720-256-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 SOO SAN DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023142",
            "telephone_number": "605-343-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUXFORD",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "4080",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SD",
            "license": "512",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "3444",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "PY 60187443",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "4080",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.