Genni L. Goschke, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

479 Issued in SD

Practice address

1770 Rand Rd
Rapid City, SD 57702-9347

Phone

(605) 791-1514

Fax

(844) 831-2349

NPI assigned

Dec 27, 2005

Last updated

Apr 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bridgewater Behavioral Health LLCGroup PAC ID 7911216502, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bridgewater Behavioral Health, LLC

  • Psychologist
  • Rapid City, SD
  • NPI 1588048201
  Medicare reassignment Care Compare group NPD Authorized official
• Scovel Psychological and Counseling Services, LTD

  • Psychologist
  • Rapid City, SD
  • NPI 1578744504
  Medicare reassignment
• Psych Recovery Inc

  • Psychiatry Physician
  • Saint Paul, MN
  • NPI 1316189541

  Psychologist

  NPD (past)
• Psychiatric Recovery PA

  • Adolescent and Children Mental Health Clinic/Center
  • Saint Paul, MN
  • NPI 1891713681
  NPD (past)

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1679550065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 RAND RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577029347",
            "telephone_number": "605-791-1514",
            "fax_number": "844-831-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 RAND RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577029347",
            "telephone_number": "605-791-1514",
            "fax_number": "844-831-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSCHKE",
        "first_name": "GENNI",
        "middle_name": "L.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SD",
            "license": "479",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4419",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "0156360",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "61 78580",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "781137300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Gorans, CNP
• Colette Kathryn Gorder, MS, FNP-C
• Robert T Gordon, MD
• Vaughn Gordon
• Gorsuch Family Chiropractic
• Yvette Gourde, OTR
• Graceful Touch DME Supplier
• Gracefultouch
• Laura Gradoville
• Christina J Graham, NP

• Psychologist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Psychologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.