NPIMap

Deborah Susan Cavanaugh, MD

Individual provider Active NPI Psychiatry Physician · Belle Fourche, SD

NPI 1720171283 · NPPES record last updated Feb 25, 2025

Key facts

NPI
1720171283
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
45523 (MN)
Practice address
836 5TH Ave
Belle Fourche, SD 57717-1607
Phone
(832) 604-3771
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 18

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20140224000589 MN Practitioner - Psychiatry 1557251899 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-23081HIMDPsychiatry Physician
5199SDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Express Care Current
since Dec 1, 2020		 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Health Services Current
since Jul 12, 2019		 Accepting new patients
Healtheast Medical Research Institute Current
since Jan 26, 2022		 Accepting new patients
Healtheast Medical Research Institute Current
since Jan 26, 2022		 Accepting new patients
Fairview Express Care Current
since Dec 1, 2020		 Accepting new patients
Healtheast St. John'S Hospital Current
since Dec 1, 2020		 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Health Services Current
since Jul 12, 2019		 Accepting new patients
University Physician Past Accepting new patients
Avera McKennan Past Accepting new patients
Samuel Mahelona Memorial Hospital Past Accepting new patients
Stronghold Counseling Services Inc Past Accepting new patients
Integrative Psychiatry, P.C. Psychiatry Past
since Jul 1, 2003		 Accepting new patients
Southeastern Behavioral Healthcare Past
since Dec 18, 2013		 Accepting new patients
East Central Mental Health & Chemical Dependency Center Past
since Sep 15, 2015		 Accepting new patients
Southeastern Behavioral Healthcare Past Accepting new patients

Locations

6341 University Ave NE
Minneapolis, MN 55432
Phone (763) 427-9980

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

4000 Central Ave NE
Saint Anthony, MN 55421
Phone (763) 572-5700

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5199 SD
Psychiatry Physician 2084P0800X MD-23081 HI
Psychiatry Physician 2084P0800X 45523 MN Yes

Addresses

Primary practice location

836 5TH Ave
Belle Fourche, SD 57717-1607

Mailing address

73-4331 Kakahiaka St
Kailua Kona, HI 96740-9548
Phone (605) 321-2549

Other practice location 1

500 Ala Moana Blvd Ste 400
Honolulu, HI 96813
Phone (832) 604-3771

Other identifiers

IdentifierTypeStateIssuer
7100513MedicaidSD
7100518MedicaidSD

Other providers in Belle Fourche, SD

All providers in Belle Fourche, SD · Psychiatry Physician in South Dakota

Sources for this page

Verify at the official NPI Registry.