St Josephs Indian School

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ST JOSEPHS INDIAN SCHOOL

Practice address

1301 N Main Ave
Chamberlain, SD 57325

Phone

(605) 234-3401

NPI assigned

Jul 9, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Mike Tyrell

Title

Executive Director of Child Service

Phone

(605) 234-3401

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1689837726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N MAIN AVE",
            "city": "CHAMBERLAIN",
            "state": "SD",
            "postal_code": "57325",
            "telephone_number": "605-234-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N MAIN AVE",
            "city": "CHAMBERLAIN",
            "state": "SD",
            "postal_code": "57325",
            "telephone_number": "605-234-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPHS INDIAN SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "TYRELL",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF CHILD SERVICE",
        "authorized_official_telephone_number": "605-234-3401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Selthun, ATC
• Kala M Shepherd, CNP
• Latoya Alecia Shirley, RN
• Kathryn Sims
• Makenzie Jade Sorensen, RN
• Starr Trakk LLC
• Joel D Stauss, CRNA
• Jacob Daniel Steckelberg, PHARM.D.
• Tonya L Struble, CNP
• Timothy John Travis, PHARM D

• Psychologist in Chamberlain, SD
• Providers in Chamberlain, SD by specialty
• Psychologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.